Heavenly Spa Mobile, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

HEAVENLY SPA MOBILE, LLC

Practice address

2484 Ingleside Ave
BLDG a Suite 101-a
Macon, GA 31204

Phone

(478) 747-9231

NPI assigned

Jan 26, 2026

Organization subpart

No

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

Authorized official

Name

Latonia Rainey, LMT

Title

Owner Licensed Massage Therapist

Phone

(478) 733-7929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1679422265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 INGLESIDE AVE",
            "address_2": "BLDG A SUITE 101-A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-747-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 INGLESIDE AVE",
            "address_2": "BLDG A SUITE 101-A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-747-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY SPA MOBILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "OWNER LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "478-733-7929",
        "authorized_official_credential": "LMT"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.