Green Wellness Massage LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

GREEN WELLNESS MASSAGE LLC

Practice address

2855 Horseshoe Pike
Campbelltown, PA 17010

Phone

(717) 838-2600

NPI assigned

Oct 31, 2025

Organization subpart

No

Name

Elizabeth Southam, LMTNPI 1285028332

Title

Owner/Licensed Massage Therapist

Phone

(717) 838-2600

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2025.

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1003785841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "CAMPBELLTOWN",
            "state": "PA",
            "postal_code": "170100494",
            "telephone_number": "717-838-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 HORSESHOE PIKE",
            "city": "CAMPBELLTOWN",
            "state": "PA",
            "postal_code": "17010",
            "telephone_number": "717-838-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WELLNESS MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "SOUTHAM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "717-838-2600",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Donald Dosh, D.C.
• Marthom Corporation
• Reliant Twin Oaks Holdings, LLC
• Elizabeth Southam
• David G Thompson, PH.D.
• Avery Sofia Wagner, LMT

• All providers in Campbelltown, PA
• Community Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.