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MYTHIC MASSAGE LLC
NPI 1093339269
Clinic/Center in Charlotte, NC

Active since June 03, 2020
5701 EXECUTIVE CENTER DR STE 350, CHARLOTTE, NC 28212(704) 323-6718 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2023, Dec 2, 2022, Jun 3, 2020 (3 updates tracked since 2020).

About Mythic Massage Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYTHIC MASSAGE LLC (NPI 1093339269) is a healthcare organization registered as a clinic/center in Charlotte, North Carolina and active in the NPI registry since June 2020. The organization lists Meww Gomez, Owner, as its authorized official.

NPPES Registry Identity

NPI1093339269
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMYTHIC MASSAGE LLC
Location Address5701 EXECUTIVE CENTER DR STE 350Charlotte, NC 28212-8847
Mailing Address5701 Executive Center Dr Ste 350Charlotte, NC 28212-8847 · (704) 323-6718
Phone(704) 323-6718
Organization SubpartNo
Authorized OfficialMeww GomezOwner · (704) 323-6718
Enumeration DateJune 3, 2020
Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1093339269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · PainTaxonomy 261QP3300X
5701 EXECUTIVE CENTER DR STE 350, Charlotte, NC 28212
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEWW GOMEZ LMBT
Massage Therapist
5701 EXECUTIVE CENTER DR STE 350
CHARLOTTE, NC 28212
Mecklenburg County (704) 323-6718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mythic Massage LLC's NPI number?

The NPI number for Mythic Massage LLC is 1093339269. It was assigned to this organization in the NPPES registry on June 3, 2020.

Where is Mythic Massage LLC located?

Mythic Massage LLC is located at 5701 Executive Center Dr Ste 350, Charlotte, NC 28212. The listed phone number is (704) 323-6718.

What is Mythic Massage LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mythic Massage LLC was last updated on November 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.