STILL WATERS THERAPEUTIC MASSAGE & WELLNESS CLINIC (NPI# 1083847024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083847024 |
| Entity Type | Organization |
| Organization Name | STILL WATERS THERAPEUTIC MASSAGE & WELLNESS CLINIC |
| Practice Address |
452 North Main St. Six Mile SC 29680 |
| Mailing Address |
452 North Main St. Po Box 508 Six Mile SC 29680 |
| Practice Telephone | 8645062381 |
| Mailing Telephone | 8645062381 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Authorized Official Name | STACEY RICHBURG (MASSAGE THERAPIST) |
| Authorized Official Telephone | 8645062381 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 3912 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 5737 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
452 NORTH MAIN ST. |
| City | SIX MILE |
| State | SC |
| Zip Code | 29680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1255860243 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 704 Fairview Rd., Simpsonville, SC 29680 | 2017-06-05 |
| 1588061998 | Wrights Care Services LLC | Community/Behavioral Health | 504 Boyd Ave, Simpsonville, SC 29680 | 2014-12-01 |
| 1619389590 | Nina Christine Mckenzie | Speech-Language Pathologist | 303 Barrett Chase Dr, Simpsonville, SC 29680 | 2014-05-27 |
| 1275878761 | Stepping Stones Therapy Services | Speech-Language Pathologist | 501 Westbury Way, Simpsonville, SC 29680 | 2012-12-10 |
| 1295085363 | Wael D Nasr | Pharmacist | 698 Fairview Rd., Simpsonville, SC 29680 | 2012-09-14 |
| 1285984831 | Courtney Sands | Pharmacist | 914 West Georgia Road, Simpsonville, SC 29680 | 2012-09-11 |
| 1245589175 | Jeegar Patel | Pharmacist | 914 West Georgia Rd, Simpsonville, SC 29680 | 2012-09-06 |
| 1104849314 | Victor Paul Lebedovych | Dentist | 634 Fairview Rd, Building C, Simspnville, SC 29680 | 2006-07-26 |
| 1871528208 | Regina A. Castel | Psychiatry & Neurology | Saunders & Co. Cpa's, 210 East Trade St., Simpsonville, SC 29680 | 2006-07-12 |
| Find all providers in zip 29680 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558593962 | Stacey M Richburg | Massage Therapist | 452 North Main Street, Six Mile, SC 29682 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103562 | Margaret Mclaurin | Massage Therapist | 786 Johnnie Dodds Blvd Ste A, Mount Pleasant, SC 29464-3047 | 2020-10-31 |
| 1366040024 | Tanesha M Foster | Massage Therapist | 114 Bj Legins St, Spartanburg, SC 29301-2138 | 2020-10-15 |
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1508464173 | Gabriel Gates | Massage Therapist | 1235 Ashley Garden Blvd, Charleston, SC 29414-9211 | 2020-10-15 |
| 1215535406 | Amy Wilkerson | Massage Therapist | 605 Poplar Grove Pl, Summerville, SC 29483-1681 | 2020-10-11 |
| 1275130676 | Keyona Tyese Wise | Massage Therapist | 108 Pine Ridge Dr, Bluffton, SC 29910-6815 | 2020-10-08 |
| 1659978484 | Cedrick K Sheem | Massage Therapist | 831 Bluestone Ct, Marion, SC 29571-6060 | 2020-10-05 |
| 1225635394 | Natalie Dora Marie Castaneda | Massage Therapist | 35 Crosscreek Dr Apt C1, Charleston, SC 29412-2511 | 2020-10-02 |
| 1134736275 | Denise Jackson | Massage Therapist | 102 Arborwood Dr, Anderson, SC 29621-5865 | 2020-09-23 |
| 1043826332 | Elizabeth Laird | Massage Therapist | 575 Riser Dr, Charleston, SC 29412-2750 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.