The Glam Station and Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE GLAM STATION AND SPA

Practice address

326 Military Rd
Columbus, MS 39701-4670

Phone

(662) 798-0150

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Terrance Bonner, LMTNPI 1669298113

Title

Ceo

Phone

(662) 549-3330

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.

• Terrance Bonner, LMT

  • Massage Therapist
  • Columbus, MS
  • NPI 1669298113
  NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1982420238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MILITARY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014670",
            "telephone_number": "662-798-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MILITARY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014670",
            "telephone_number": "662-798-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLAM STATION AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-549-3330",
        "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": []
}

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• Massage Therapist in Columbus, MS
• Providers in Columbus, MS by specialty
• Massage Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.