Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TRACIE AMMONS MISTRY
NPI 1114853397
Massage Therapist in North Myrtle Beach, SC

Q: What is Tracie Ammons Mistry's NPI number?

The NPI number for Tracie Ammons Mistry is 1114853397. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Q: What is Tracie Ammons Mistry's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Active since June 23, 2026

211 HIGHWAY 17 N STE 106, NORTH MYRTLE BEACH, SC 29582(843) 742-1430(843) 663-0623 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tracie Ammons Mistry NPPES

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

TRACIE AMMONS MISTRY (NPI 1114853397) is an individual massage therapist in North Myrtle Beach, South Carolina, licensed in South Carolina (1616) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1114853397

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameTRACIE AMMONS MISTRY

Location Address211 HIGHWAY 17 N STE 106North Myrtle Beach, SC 29582-8107

Mailing Address7601 N Ocean Blvd Apt 4bMyrtle Beach, SC 29572-4252 · (843) 742-1430 · Fax (843) 663-0623

Phone(843) 742-1430

Fax(843) 663-0623

Sole ProprietorYes

Enumeration DateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1114853397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in SC · 1616

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

211 HIGHWAY 17 N STE 106, North Myrtle Beach, SC 29582

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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.

DR. JORDAN TYLER MILLER D.C.

Chiropractor

211 HIGHWAY 17 N STE 106
NORTH MYRTLE BEACH, SC 29582

Horry County (843) 251-9526

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 Tracie Ammons Mistry's NPI number?

The NPI number for Tracie Ammons Mistry is 1114853397. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Tracie Ammons Mistry located?

Tracie Ammons Mistry practices at 211 Highway 17 N Ste 106, North Myrtle Beach, SC 29582. The listed phone number is (843) 742-1430.

What is Tracie Ammons Mistry's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Tracie Ammons Mistry was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.