Active NPI
Kayla Christine Whaley
- Massage Therapist
- Bloomington, IN
National Provider Identifier
1316589427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT21104133
- Practice address
- 1713 N College Ave
Bloomington, IN 47404-2478 - Phone
- (812) 337-3529
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | MT21104133 | IN | Primary |
Addresses
Primary practice location
1713 N College Ave
Bloomington, IN 47404-2478
Mailing address
212 SE 1St St
Loogootee, IN 47553-1641
Phone (812) 318-6223
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 |
|---|---|---|---|
| MT21104133 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1316589427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 SE 1ST ST",
"city": "LOOGOOTEE",
"state": "IN",
"postal_code": "475531641",
"telephone_number": "812-318-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 N COLLEGE AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474042478",
"telephone_number": "812-337-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "KAYLA",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT21104133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.