Organization Active NPI

Therapeutic Indulgence

  • Massage Therapist
  • South Bend, IN
National Provider Identifier
1548773914
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17-00007650 Issued in IN
Legal business name
THERAPEUTIC INDULGENCE
Practice address
903 E Jefferson Blvd
South Bend, IN 46617-3103
Phone
(574) 520-1664
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Ros Frazier, LMT, CLDT
Title
Owner
Phone
(574) 520-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 17-00007650 IN Primary

Addresses

Primary practice location

903 E Jefferson Blvd
South Bend, IN 46617-3103

Mailing address

903 E Jefferson Blvd
South Bend, IN 46617-3103
Phone (574) 520-1664

National Provider Directory

National Provider Directory

Locations

903 E Jefferson Blvd
South Bend, IN 46617
Phone (574) 282-2765

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1548773914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173103",
            "telephone_number": "574-520-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173103",
            "telephone_number": "574-520-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INDULGENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-520-1664",
        "authorized_official_credential": "LMT, CLDT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "17-00007650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.