Organization Active NPI

Wanda's Health Massage Therapy

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1649719949
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WANDA'S HEALTH MASSAGE THERAPY
Doing business as
Wanda's Health Massage Therapy
Practice address
429 Person St Ste 1-a
Fayetteville, NC 28301-5737
Phone
(910) 632-0330
Fax
(888) 965-9470
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Wanda Larrie Nayeema Archie-Raheem, CMTNPI 1790167690
Title
Owner
Phone
(803) 873-7388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

429 Person St Ste 1-a
Fayetteville, NC 28301-5737

Mailing address

115 S Cool Spring St Ste 1-a
Fayetteville, NC 28301-5723
Phone (910) 632-0330

Other identifiers 1

IdentifierTypeStateIssuer
17329OtherNCNCBMBT

Other names 1

  • Wanda's Health Massage Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bosslady Corporate Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 S Cool Spring St
Ste 1A
Fayetteville, NC 28301

1030 Saint Andrews Rd
Ste B3
Columbia, SC 29210

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1649719949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S COOL SPRING ST STE 1-A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015723",
            "telephone_number": "910-632-0330",
            "fax_number": "888-965-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 PERSON ST STE 1-A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015737",
            "telephone_number": "910-632-0330",
            "fax_number": "888-965-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA'S HEALTH MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ARCHIE-RAHEEM",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "LARRIE NAYEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-873-7388",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBMBT",
            "identifier": "17329",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wanda's Health Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.