IndividualActive
Lisa Bonaventura, LMT
NPI 1578062014 · Massage Therapist · Mount Pleasant, SC
Provider details
- NPI number
- 1578062014
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5139 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1501 N Highway 17 Unit J
Mount Pleasant, SC 29464-3342
Phone: (843) 412-7033
Fax: (843) 412-7033
Street-level locationGet directions
Mailing address
367 Pluff Mud Aly
Mount Pleasant, SC 29464-8149
Registry dates
- Enumerated
- 2018-02-11
- Last updated
- 2018-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.