Divine Touch Massage Therapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DIVINE TOUCH MASSAGE THERAPY, LLC

Practice address

354 Wagoner Dr Ste 102
Fayetteville, NC 28303-4659

Phone

(910) 300-9230

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Carestsa Shonta Whitted, LMBTNPI 1174471577

Title

Owner/Massage Therapist

Phone

(910) 300-9230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carestsa Whitted, LMBT

  • Massage Therapist
  • Fayetteville, NC
  • NPI 1174471577
  NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1245055268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WAGONER DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034659",
            "telephone_number": "910-300-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WAGONER DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034659",
            "telephone_number": "910-300-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "WHITTED",
        "authorized_official_first_name": "CARESTSA",
        "authorized_official_middle_name": "SHONTA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "910-300-9230",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Doula Goddess Inc
• Divine Family Practice and Urgent Care, PLLC
• Divine Family Practice and Urgent Care, PLLC
• Divine Home Care Agency LLC
• Divine Homecare LLC
• Brenda M. Dixon
• Gabrielle Dixon
• Mari Dixon, NP-C
• Samoht Dixon
• Stephanie Melissa Dixon, LCAS

• Massage Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.