Individual provider · Type 1 NPI

Tracie Ammons Mistry

Massage Therapist · North Myrtle Beach, SC

NPI number 1114853397 Active

Practice location

211 Highway 17 N Ste 106
North Myrtle Beach, SC 29582-8107

Call (843) 742-1430 Map

Fax (843) 663-0623

Mailing address

7601 N Ocean Blvd Apt 4B
Myrtle Beach, SC 29572-4252

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1616 (SC)

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.

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About NPI 1114853397

Tracie Ammons Mistry's National Provider Identifier is 1114853397, issued on Jun 23, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Jun 23, 2026.