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

Tracie Ammons Mistry

Individual provider Massage Therapist · NPI 1114853397

Tracie Ammons Mistry is a Massage Therapist in North Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

211 Highway 17 N Ste 106
North Myrtle Beach, SC 29582-8107
Phone: (843) 742-1430
Fax: (843) 663-0623
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 1616 (SC)

Record details

NPI number1114853397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address7601 N Ocean Blvd Apt 4b, Myrtle Beach, SC 29572-4252

Other providers in North Myrtle Beach