Organization Active NPI

Wildflower Mind-Body Therapy

  • Massage Therapist
  • Colville, WA
National Provider Identifier
1942197876
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WILDFLOWER MIND-BODY THERAPY
Doing business as
Awakened Bodywork Clinic
Awakened Wellness Center
Practice address
106 S Main St
Colville, WA 99114-2406
Phone
(509) 680-1518
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hailey Fay Taylor, LMT
Title
Massage Therapist - Owner
Phone
(253) 904-4737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

106 S Main St
Colville, WA 99114-2406

Mailing address

106 S Main St
Colville, WA 99114-2406
Phone (509) 680-1518

Other names 2

  • Awakened Bodywork Clinic Doing business as
  • Awakened Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

298 S Main St
Ste 202
Colville, WA 99114

106 S Main St
Colville, WA 99114
Phone (425) 283-2903

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1942197876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142406",
            "telephone_number": "509-680-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142406",
            "telephone_number": "509-680-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER MIND-BODY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST - OWNER",
        "authorized_official_telephone_number": "253-904-4737",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakened Bodywork Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Awakened Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.