Southern Therapeutic Massage Studio LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SOUTHERN THERAPEUTIC MASSAGE STUDIO LLC

Practice address

88 W. Broad St
Camilla, GA 31730

Phone

(229) 328-0937

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Tina Watson, NMT

Title

Massage Therapist / Owner

Phone

(229) 328-0937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1336533652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 W. BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "31730",
            "telephone_number": "229-328-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W. BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "31730",
            "telephone_number": "229-328-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN THERAPEUTIC MASSAGE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST / OWNER",
        "authorized_official_telephone_number": "229-328-0937",
        "authorized_official_credential": "NMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Camilla, GA
• Providers in Camilla, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.