Hope Frazier

Individual provider Active NPI Massage Therapist · Springville, IN

NPI 1417356239 · NPPES record last updated Aug 25, 2014

Key facts

NPI
1417356239
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT21003380 (IN)
Practice address
7050 State Road 54 W
Springville, IN 47462-5148
Phone
(812) 653-6348
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

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
MT21003380INMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT21003380 IN Yes

Addresses

Primary practice location

7050 State Road 54 W
Springville, IN 47462-5148

Mailing address

7050 State Road 54 W
Springville, IN 47462-5148
Phone (812) 653-6348

Other providers in Springville, IN

All providers in Springville, IN · Massage Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.