Organization · Type 2 NPI

Skin Invy Esthetics & Massage Salon LLC

Massage Therapist · Evans, GA

NPI number 1104503390 Active

Practice location

807 Oakhurst Dr Ste B
Evans, GA 30809-3713

Fax (706) 496-8541

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse	164W00000X	None listed
Massage Therapist Primary	225700000X	None listed

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.

5 other providers at this address

NPI record

NPI: 1104503390
Entity type: Organization (Type 2)
Issued: Jun 29, 2023
Last updated: Sep 3, 2025
Status: Active

Other names

<unavail>
Skin Invy · doing business as
Skin Invy Esthetics & Massage Salon · doing business as
Skin Invy Salon · doing business as
Skin Invy Wellness & Aesthetics LLC Salon · former legal business name

Authorized official

Mrs. Andrea Clotelia Williams, LMT, LPN, ACLP, LE
Registered Agent/owner/employee
(706) 829-8038

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104503390

Skin Invy Esthetics & Massage Salon LLC's National Provider Identifier is 1104503390, issued on Jun 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Evans, GA. The record was last updated on Sep 3, 2025.