Statelen Therapy, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

280 Issued in MT

Legal business name

STATELEN THERAPY, INC

Practice address

621 1St St W
Havre, MT 59501-3582

Phone

(406) 265-2427

Fax

(406) 265-1249

NPI assigned

Oct 14, 2010

Last updated

Oct 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin Wayne Statelen, L.M.T.

Title

President

Phone

(406) 265-2427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1083924815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 1ST ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013582",
            "telephone_number": "406-265-2427",
            "fax_number": "406-265-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 1ST ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013582",
            "telephone_number": "406-265-2427",
            "fax_number": "406-265-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATELEN THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "STATELEN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-265-2427",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Havre, MT
• Providers in Havre, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.