Elisabeth Victoria Raley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4849 Issued in SC

Practice address

1531 Augusta Rd
West Columbia, SC 29169-6128

Phone

(803) 622-6569

NPI assigned

Mar 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elisabeth Victoria Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1699915637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVERHILL CIR APT B3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108131",
            "telephone_number": "803-622-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 AUGUSTA RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696128",
            "telephone_number": "803-622-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "ELISABETH",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "GONZALEZ",
            "middle_name": "VICTORIA",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor E Radley, FNP
• Ashley Ragan, BSN, MSN, CRNA
• Rahul Raghavan, MD
• Catie Jackson Rainsford, PA-C
• Allison Raitt, PHARMD
• James F Raley, LMT
• Whitney Ann Rambo, PTMHS
• Allison Ramey, APRN
• Kimberly Ramsey, COTA
• Kathleen Randall, LISW

• Massage Therapist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.