Serenity & Body Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SERENITY & BODY WELLNESS LLC

Practice address

420 N Columbia Ave
Rincon, GA 31326-6806

Phone

(912) 826-3624

Fax

(866) 204-0603

NPI assigned

Jul 15, 2016

Organization subpart

No

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

Authorized official

Name

Tammy Pack, LMTNPI 1265832307

Title

Owner

Phone

(912) 826-3624

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Pack, LMT

  • Massage Therapist
  • Rincon, GA
  • NPI 1265832307
  NPD (past) Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1740633692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2255",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313262255",
            "telephone_number": "912-826-3624",
            "fax_number": "866-204-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N COLUMBIA AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313266806",
            "telephone_number": "912-826-3624",
            "fax_number": "866-204-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY & BODY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-826-3624",
        "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": []
}

• Jennifer Sapp, SLP
• Tammy S Saxon, PHARMACIST
• David Schiminow, DDS
• Marc Steven Schnobrich, DC
• Misty Mae Seale, D.M.D.
• Annah Grace Sewell
• Nicole Silliman, APRN
• SJC Ms General Surgery, LLC
• Small Steps Pediatric Speech Therapy,LLC
• Alexis Jasmine Small, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.