Provider Type Icon

STILL WATERS MSSSAGE NPI 1699146548


NPI Information

NPI: 1699146548
Provider Name: STILL WATERS MSSSAGE
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1800 W CUMMINGS AVE
OPP, AL
ZIP 36467
Phone: (334) 493-4357
Get Directions

STILL WATERS MSSSAGE is a massage therapist in Opp, AL. The provider is 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. STILL WATERS MSSSAGE NPI is 1699146548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 W CUMMINGS AVE
OPP, AL
ZIP 36467
Phone: (334) 493-4357
Fax: (334) 493-3836

The provider's authorized official is Kellie Victoria King .
The authorized official title is Licensed Massage Therpist and has the following contact phone number (334) 343-6325.

The enumeration date for this NPI number is 10/16/2015 and was last updated on 10/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist2926ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12926OTHERALABAMAAL LICENSE NUMBER FOR MASSAGE
21609245034OTHERALABAMAINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.