Odyssey Chiropractic & Massage Therapy, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1168 Issued in SC

Legal business name

ODYSSEY CHIROPRACTIC & MASSAGE THERAPY, LLC

Practice address

413 Farrs Bridge Rd
Greenville, SC 29617-1858

Phone

(864) 246-0803

Fax

(864) 246-0555

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Katherine M Haynie, DC

Title

Co-Owner, Ceo

Phone

(864) 246-0803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063462802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171858",
            "telephone_number": "864-246-0803",
            "fax_number": "864-246-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171858",
            "telephone_number": "864-246-0803",
            "fax_number": "864-246-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY CHIROPRACTIC & MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER, CEO",
        "authorized_official_telephone_number": "864-246-0803",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.