TRADE STREET MASSAGE – NPI #1750793519
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

TRADE STREET MASSAGE is an AHC clinic located in GREENVILLE, SC. NPPES has assigned the NPI number 1750793519 to TRADE STREET MASSAGE on May 28, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TRADE STREET MASSAGE” is a dba name, the actual legal business name for this organization is TRADE STREET MASSAGE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRADE STREET MASSAGE below.

NPI Profile for
TRADE STREET MASSAGE LLC

NPI Number
1750793519
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRADE STREET MASSAGE LLC
Doing Business As (dba): TRADE STREET MASSAGE
Primary location
210 W STONE AVE
LR3
GREENVILLE, SC 29609-5452
Phone: (864) 275-0229 Fax: (877) 608-5094
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY RUGGIERO
OWNER
Phone: (864) 275-0229
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
SC 5857
261QP3300X
- Clinic/Center / Pain
SC 5857

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.