Active NPI
Wanda's Health Massage Therapy
- Massage Therapist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Larrie Nayeema Archie-Raheem, CMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17329 | Other | NC | NCBMBT |
Other names 1
- Wanda's Health Massage Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Bosslady Corporate Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wanda's Health Massage Therapy
- Case Manager/Care Coordinator
- Fayetteville, NC
- NPI 1649013160
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.
-
- Massage Therapist
- Fayetteville, NC
- NPI 1790167690
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.