Organization Active NPI

Bosslady Massage & Bodywork Therapy LLC

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1205793486
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BOSSLADY MASSAGE & BODYWORK THERAPY LLC
Practice address
429 Person St Ste 1
Fayetteville, NC 28301-5737
Phone
(910) 632-0330
Fax
(888) 965-9470
NPI assigned
Jan 8, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Wanda Archie-Raheem, MTNPI 1790167690
Title
Owner/ Therapist
Phone
(803) 873-7388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

429 Person St Ste 1
Fayetteville, NC 28301-5737

Mailing address

115 S Cool Spring St
Fayetteville, NC 28301-5723
Phone (910) 632-0330

Other practice location 1

115 S Cool Spring St Ste 1-A
Fayetteville, NC 28301-5723
Phone (910) 632-0330 ext. 37388

National Provider Directory

National Provider Directory

Locations

115 S Cool Spring St
Fayetteville, NC 28301

429 Person St
Ste 1
Fayetteville, NC 28301
Phone (910) 632-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1205793486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S COOL SPRING ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015723",
            "telephone_number": "910-632-0330",
            "fax_number": "888-965-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 PERSON ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015737",
            "telephone_number": "910-632-0330",
            "fax_number": "888-965-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S Cool Spring St Ste 1-A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015723",
            "country_code": "US",
            "telephone_number": "910-632-0330 x37388",
            "fax_number": "888-965-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSSLADY MASSAGE & BODYWORK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ARCHIE-RAHEEM",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "803-873-7388",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.