John Paul Davis, LMT
Individual provider Active NPI Massage Therapist · Belton, SC
NPI 1295858876 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295858876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 4962 (SC)
- Practice address
- 1404 Anderson St
#B
Belton, SC 29627-2414 - Phone
- (864) 356-8716
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4962 | SC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4962 | SC | Yes |
Addresses
Primary practice location
1404 Anderson St
#B
Belton, SC 29627-2414
Mailing address
411 Friendship Church Rd
Honea Path, SC 29654-9103
Phone (864) 356-8716
Other providers in Belton, SC
- Clinkscales Drugs Inc.
- Henry Cox Clinkscales
- Makayla Marie Cole
- William Glenn Culbertson
- Custom Healthcare, LLC
- Cortney Shantres Ellis
- Alyssa Danielle Erskine
- Family Care Management, LLC
- Jonathan Alexander Fernandez
- Rachell Gaines
All providers in Belton, SC · Massage Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.