Eden State, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EDEN STATE, LLC

Doing business as

Perry Massage

Practice address

80 S Main St
Lobelville, TN 37097-3276

Phone

(615) 475-8293

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Perry, LMT #12802NPI 1235729864

Title

Owner / Operator

Phone

(615) 720-8029

Specialties & licenses 1

Addresses

Other names 1

• Perry Massage Doing business as

Locations

Practitioners 2

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.

• Kyle Gregory Perry, LMT

  • Massage Therapist
  • Lobelville, TN
  • NPI 1235729864
  NPD Authorized official
• Autumn Marie Rainey, LMT

  • Massage Therapist
  • Lobelville, TN
  • NPI 1972414837
  NPD (past)

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1336021286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DUNCAN CIR",
            "city": "LOBELVILLE",
            "state": "TN",
            "postal_code": "370973428",
            "telephone_number": "615-720-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "LOBELVILLE",
            "state": "TN",
            "postal_code": "370973276",
            "telephone_number": "615-475-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN STATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "615-720-8029",
        "authorized_official_credential": "LMT #12802"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidra Bates, RN
• Donna Huggins, NP
• Lobelville Clinic
• Marelle Mitchell, FNP
• Cheryl Patton, LMT
• Kyle Gregory Perry, LMT

• Massage Therapist in Lobelville, TN
• Providers in Lobelville, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.