Healthcare Provider Details

I. General information

NPI: 1912811225
Provider Name (Legal Business Name): KASRA ALMASIFAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 LONG POINT RD STE 403
MOUNT PLEASANT SC
29464-8298
US

IV. Provider business mailing address

721 LONG POINT RD STE 403
MOUNT PLEASANT SC
29464-8298
US

V. Phone/Fax

Practice location:
  • Phone: 803-297-4096
  • Fax:
Mailing address:
  • Phone: 803-297-4096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11657
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: