Healthcare Provider Details

I. General information

NPI: 1720930704
Provider Name (Legal Business Name): HIMALAYAN SALT THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 N KINGS HWY STE 18
MYRTLE BEACH SC
29577-2740
US

IV. Provider business mailing address

4025 N KINGS HWY STE 18
MYRTLE BEACH SC
29577-2740
US

V. Phone/Fax

Practice location:
  • Phone: 843-444-9095
  • Fax:
Mailing address:
  • Phone: 843-444-9095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN BARRETT
Title or Position: CEO
Credential:
Phone: 843-444-9095