Active NPI
Mary L Meyer, BBA, MT, MMP
- Massage Therapist
- Kingsport, TN
National Provider Identifier
1477934271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0000007742
- Practice address
- 2613 E Center St
Kingsport, TN 37664-2753 - Phone
- (423) 245-2304
- NPI assigned
- Jun 17, 2015
- 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 | MT0000007742 | TN | Primary |
Addresses
Primary practice location
2613 E Center St
Kingsport, TN 37664-2753
Mailing address
2613 E Center St
Kingsport, TN 37664-2753
Phone (423) 245-2304
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
- Credentials
- Bachelor of Business Administration, Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0000007742 | TN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1477934271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642753",
"telephone_number": "423-245-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2613 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642753",
"telephone_number": "423-245-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "BBA, MT, MMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "MT0000007742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.