SRJ Creative Endeavors, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SRJ CREATIVE ENDEAVORS, LLC

Doing business as

Aglow Massage Studio

Practice address

4607 Charlotte Hwy Ste 2
Lake Wylie, SC 29710-8147

Phone

(803) 820-9185

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Johnson, LMT

Title

Owner

Phone

(803) 820-9185

Specialties & licenses 2

Addresses

Other names 1

• Aglow Massage Studio Doing business as

Locations

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1811674088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD STE A #10321",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-820-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 CHARLOTTE HWY STE 2",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108147",
            "telephone_number": "803-820-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRJ CREATIVE ENDEAVORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-820-9185",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aglow Massage Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Marie Semidey, PT
• Serenity Therapy Services
• Christina T Shaffery, PT
• Katherine Hipps Skeen, AUD
• Christopher Andrew Snell, D.D.S.
• Elizabeth R Staines, PT
• Thomas N Stall Sr., DMD
• Katherine Stanton
• Stepping Stones Pediatric Therapy Inc
• Scott Sullivan

• Massage Therapist in Lake Wylie, SC
• Providers in Lake Wylie, 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 Jun 29, 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.