NPIMap

Organization Active NPI

Low Country Massage & Wellness, LLC

Doing business as Wellness Spa

  • Massage Therapist
  • Georgetown, SC
National Provider Identifier
1740616374
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6530 Issued in SC
Legal business name
LOW COUNTRY MASSAGE & WELLNESS, LLC
Doing business as
Wellness Spa
Practice address
829 Front St
Suite H
Georgetown, SC 29440-3563
Phone
(901) 896-6024
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Ms. Blakely Renee Altman, LMTNPI 1902139108
Title
Owner
Phone
(901) 896-6024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6530 SC Primary

Addresses

Primary practice location

829 Front St
Suite H
Georgetown, SC 29440-3563

Mailing address

913 Lakeside Dr
Georgetown, SC 29440-4325
Phone (901) 896-6024

Other names 1

  • Wellness Spa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Low Country Massage Wellness 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1740616374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 LAKESIDE DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404325",
            "telephone_number": "901-896-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FRONT ST",
            "address_2": "SUITE H",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403563",
            "telephone_number": "901-896-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY MASSAGE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "BLAKELY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-896-6024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "6530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.