MEDICARE: HAPPY BODY WORKS, INC

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	1506	SC

General Provider Information

NPI Number	:	1720151657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY BODY WORKS, INC

Provider Business Mailing Address
First Line	:	1113 24TH AVE SOUTH
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582
Country	:	US
Telephone Number	:	843-626-4714
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 24TH AVE SOUTH
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582
Country	:	US
Telephone Number	:	843-626-4714
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT, OWNER
Name	:	CHERYL GARNANT
Credential	:	LMT
Telephone Number	:	843-626-4714

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/22/2020

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