Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mythic Massage LLC

Organization Clinic/Center · NPI 1093339269

Mythic Massage LLC is a Clinic/Center in Charlotte, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5701 Executive Center Dr Ste 350
Charlotte, NC 28212-8847
Phone: (704) 323-6718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1093339269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meww Gomez — Owner · (704) 323-6718
NPI enumeratedJune 3, 2020
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address5701 Executive Center Dr Ste 350, Charlotte, NC 28212-8847

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