Amber A Deverall, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT21706201 Issued in IN

Practice address

6319 E US Highway 36 Ste 5
Avon, IN 46123-6210

Phone

(317) 460-3491

NPI assigned

Oct 19, 2012

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amber Raley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1033462601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LINCOLN DR APT 104",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236454",
            "telephone_number": "317-460-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 E US HIGHWAY 36 STE 5",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236210",
            "telephone_number": "317-460-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERALL",
        "first_name": "AMBER",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21706201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "RALEY",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Avon, IN
• Providers in Avon, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.