Active NPI
Bosslady Massage & Bodywork Therapy LLC
- Massage Therapist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Archie-Raheem, MT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Massage Therapist
- Fayetteville, NC
- NPI 1790167690
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.