Active NPI
Christine Marie Milde
- Massage Therapist
- Valparaiso, IN
National Provider Identifier
1104690759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT21505424
- Practice address
- 116 E Lincolnway
Valparaiso, IN 46383 - Phone
- (219) 776-6834
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT21505424 | IN | Primary |
Addresses
Primary practice location
116 E Lincolnway
Valparaiso, IN 46383
Mailing address
63 Gaslite Park
Hebron, IN 46341-8719
Phone (219) 776-6834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT21505424 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1104690759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GASLITE PARK",
"city": "HEBRON",
"state": "IN",
"postal_code": "463418719",
"telephone_number": "219-776-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E LINCOLNWAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-776-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILDE",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT21505424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.