OrganizationActive
Southern Therapeutic Massage Studio LLC
NPI 1336533652 · Massage Therapist · Camilla, GA
Provider details
- NPI number
- 1336533652
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tina Watson, Massage Therapist / Owner(229) 328-0937
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
88 W. Broad St
Camilla, GA 31730
Phone: (229) 328-0937
Street-level locationGet directions
Mailing address
88 W. Broad St
Camilla, GA 31730
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2015-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.