Magnolia Waters Conceirge TCM

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MAGNOLIA WATERS CONCEIRGE TCM

Practice address

2020 Gunbarrel Rd Ste 194
Suite 124
Chattanooga, TN 37421

Phone

(423) 847-2499

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sylvia Rene'E Phillips, LMTNPI 1932629029

Title

Massage Therapist

Phone

(423) 653-7596

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvia Rene'E Phillips

  • Massage Therapist
  • Chattanooga, TN
  • NPI 1932629029

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1164019386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 MOUNTAIN SHADOWS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD STE 194",
            "address_2": "SUITE 124",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-847-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WATERS CONCEIRGE TCM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "RENE'E",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "423-653-7596",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anamaria Cordero Mafnas, LCSW
• Marsha Magill
• Robert M Magill, MD
• Shanna Magloire Regis, FNP-C
• Magnolia Health PLLC
• Judy Kay Magnussen, LPC-MHSP
• Melony E Magoon, APN
• Jennie Mahaffey, MD
• Elaine S. Maharaj
• Riana Mahlo

• Massage Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.