Zen Den Massage Studio

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ZEN DEN MASSAGE STUDIO

Practice address

1 Sherwood Dr
Hinesville, GA 31313-2813

Phone

(912) 332-5965

NPI assigned

Feb 3, 2023

Last updated

Feb 3, 2023By 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

Mr. Charles Leroy Waters Jr., LMTNPI 1912603341

Title

LMT/ Owner

Phone

(912) 332-5965

Specialties & licenses 1

Addresses

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.

• Charles Leroy Waters Jr., LMT

  • Massage Therapist
  • Hinesville, GA
  • NPI 1912603341
  NPD Authorized official
• Chloe Tatum Boyd, LMT

  • Massage Therapist
  • Hinesville, GA
  • NPI 1053093237
  NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1689370371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHERWOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132813",
            "telephone_number": "912-332-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERWOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132813",
            "telephone_number": "912-332-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN DEN MASSAGE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "LMT/ OWNER",
        "authorized_official_telephone_number": "912-332-5965",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "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": []
}

• Dene' Nicole Young, CNMT, LMT
• Shelby Young, RBT
• Brittnee Youngs, MSW
• Your Family Hospice, LLC
• Kendra Zander

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.