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

Khadijah Green

Individual provider Nurse Massage Therapist (NMT) · NPI 1639026347

Khadijah Green is a Nurse Massage Therapist (NMT) in Orangeburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

219 Bill Salley Rd
Orangeburg, SC 29115-8769
Phone: (803) 664-0801
Show map & directions

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

Specialties & licences

Nurse Massage Therapist (NMT) (primary) Taxonomy 163WM1400X · Licence 264307 (SC)

Record details

NPI number1639026347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026