NPIMap

Organization Active NPI

Still Waters Therapeutic Massage & Wellness Clinic

  • Massage Therapist
  • Six Mile, SC
National Provider Identifier
1083847024
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5737 Issued in SC
Legal business name
STILL WATERS THERAPEUTIC MASSAGE & WELLNESS CLINIC
Practice address
452 North Main St.
Six Mile, SC 29680
Phone
(864) 506-2381
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Stacey Richburg, LMT
Title
Massage Therapist
Phone
(864) 506-2381

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 5737 SC Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 3912 SC

Addresses

Primary practice location

452 North Main St.
Six Mile, SC 29680

Mailing address

452 North Main St.
PO Box 508
Six Mile, SC 29680
Phone (864) 506-2381

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1083847024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NORTH MAIN ST.",
            "address_2": "PO BOX 508",
            "city": "SIX MILE",
            "state": "SC",
            "postal_code": "29680",
            "telephone_number": "864-506-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NORTH MAIN ST.",
            "city": "SIX MILE",
            "state": "SC",
            "postal_code": "29680",
            "telephone_number": "864-506-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS THERAPEUTIC MASSAGE & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "RICHBURG",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "864-506-2381",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "5737",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "3912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Six Mile, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.