MEDICARE: MASSAGE LUXE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1598607988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSAGE LUXE

Provider Business Mailing Address
First Line	:	55 BEAVER RIDGE DR
Second Line	:
City	:	YOUNGSVILLE
State	:	NC
Zip	:	27596-8760
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7436 CREEDMOOR RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-1663
Country	:	US
Telephone Number	:	919-706-7291
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPIST
Name	:	CHRISTOPHER WISE
Credential	:	LMBT
Telephone Number	:	919-706-7291

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “MASSAGE LUXE ” Practice Location

Language	Start Address	Practice Location

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