Healthcare Provider Details

I. General information

NPI: 1285594044
Provider Name (Legal Business Name): EMPOWERFUEL MASSAGE & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4357 FORT JACKSON BLVD
COLUMBIA SC
29205-2145
US

IV. Provider business mailing address

105 LINDEVON LN UNIT A
COLUMBIA SC
29223-6239
US

V. Phone/Fax

Practice location:
  • Phone: 803-816-1163
  • Fax:
Mailing address:
  • Phone: 803-599-0063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID MAURICE GRIFFIN
Title or Position: OWNER/LICENSED MASSAGE THERAPIST
Credential: LMT, BCTMB
Phone: 803-816-1163