Active NPI
Therapeutic Indulgence
- Massage Therapist
- South Bend, IN
National Provider Identifier
1548773914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17-00007650
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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
- The South Bend Clinic Pharmacy
- The South Bend Clinic, LLC
- The Venus Home Care-Indiana LLC
- Michael Joseph Theall, LMHC
- Kristine A. Thelen, LCSW
- Therapeutic Interventions & Solutions (Ripple Effect Pediatric Therapy)
- Samantha Thibos, BCBA
- Thomas a Closurdo Jr DDS PC
- Thomas P Bathrick DO, PC
- Thomas R Gruszynski MD Inc
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.