Honor Beyer, MASSAGE THERAPIST

Individual provider Active NPI Massage Therapist · Fort Wayne, IN

NPI 1366034530 · NPPES record last updated Feb 9, 2021

Key facts

NPI
1366034530
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT21706354 (IN)
Practice address
2050 E Dupont Rd
Fort Wayne, IN 46825-1583
Phone
(260) 444-2080
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT21706354INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Heath Nagel PC Current
since Feb 14, 2021
Accepting new patients

Locations

2050 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 444-2080

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT21706354 IN Yes

Addresses

Primary practice location

2050 E Dupont Rd
Fort Wayne, IN 46825-1583

Mailing address

2050 E Dupont Rd
Fort Wayne, IN 46825-1583
Phone (260) 444-2080

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Massage Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.