Heart and Soul Therapeutic Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

HEART AND SOUL THERAPEUTIC MASSAGE

Doing business as

Heart and Soul Therapeutic Massage

Practice address

518 S Baldwin Ave
Marion, IN 46953-1373

Phone

(765) 662-8222

NPI assigned

May 3, 2024

Last updated

May 13, 2024By 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

Ms. Michelle Roudebush, LMTNPI 1720550619

Title

Owner

Phone

(765) 662-8222

Specialties & licenses 1

Addresses

Other names 1

• Heart and Soul Therapeutic Massage Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Roudebush, MASSAGE THERAPIST

  • Massage Therapist
  • Marion, IN
  • NPI 1720550619
  NPD Authorized official
• Kelsey Lynn Lippens, LMT

  • Massage Therapist
  • Marion, IN
  • NPI 1851158760
  NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1336996636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E GRANT ST",
            "city": "LA FONTAINE",
            "state": "IN",
            "postal_code": "469409238",
            "telephone_number": "765-662-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469531373",
            "telephone_number": "765-662-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ROUDEBUSH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-662-8222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart and Soul Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.