Individual provider · Type 1 NPI
Xavier Black, LMT
Massage Therapist · Columbia, SC
NPI number
1336043470
Active
Practice location
112 Sunchaser Dr
Columbia, SC 29229-7307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14521 (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 1336043470
Xavier Black, LMT's National Provider Identifier is 1336043470, issued on Oct 5, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, SC. The record was last updated on Oct 5, 2026.