Organization Active NPI

Holistic Body Shop

  • Massage Therapist
  • Savannah, GA
National Provider Identifier
1194646935
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOLISTIC BODY SHOP
Practice address
117 Oglethorpe Professional CT Ste 3
Savannah, GA 31406-3664
Phone
(912) 483-9073
NPI assigned
Jul 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Cameron Cietek, LMT
Title
Owner
Phone
(912) 483-9073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

117 Oglethorpe Professional CT Ste 3
Savannah, GA 31406-3664

Mailing address

117 Oglethorpe Professional CT Ste 3
Savannah, GA 31406-3664

National Provider Directory

National Provider Directory

Locations

117 Oglethorpe Professional Ct
Ste 3
Savannah, GA 31406

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1194646935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OGLETHORPE PROFESSIONAL CT STE 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OGLETHORPE PROFESSIONAL CT STE 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063664",
            "telephone_number": "912-483-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BODY SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "CIETEK",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-483-9073",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.