Bow Boutique LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BOW BOUTIQUE LLC

Practice address

3939 Carriage House CT Apt C
East Point, GA 30344-6370

Phone

(404) 822-9119

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Nicole WoodsNPI 1700631819

Title

Founder and Member

Phone

(404) 822-9119

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Nichelle Woods, PHD, DNM, LMT

  • Massage Therapist
  • East Point, GA
  • NPI 1700631819
  NPD Authorized official

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1295580165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 CARRIAGE HOUSE CT APT C",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446370",
            "telephone_number": "404-822-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 CARRIAGE HOUSE CT APT C",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446370",
            "telephone_number": "404-822-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOW BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER AND MEMBER",
        "authorized_official_telephone_number": "404-822-9119"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karol Blackman
• Boho Braid Specialist LLC
• Blair Mordecai Bolton, BCBA
• Naima D Bond
• Zakia Boston
• Precious L Braswell, MD
• Bright Future Therapy Services
• Michael Alexander Brittain, LCSW
• Genevieve E Broomfield, R.D, L.D., C.S.R.
• Jonathan Kyle Brown

• Massage Therapist in East Point, GA
• Providers in East Point, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.