Baron Anderson Gilreath II
Massage Therapist in Lexington, SC. Individual provider (NPI-1).
NPI number1104799469
StatusActive
Last updated in NPPESSep 24, 2025
Details
- NPI
- 1104799469
- Entity type
- Individual (NPI-1)
- Name
- Baron Anderson Gilreath II
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2025
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14119 | SC | Yes |
Practice location
1735 W Main StLexington, SC 29072-2201
Phone 475-234-9803
Mailing address
152 Frank StLexington, SC 29073-8723
Phone 475-234-9803
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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