Organization Active NPI

Corbin Massage Therapy

  • Massage Therapist
  • Corbin, KY
National Provider Identifier
1629314034
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
KY0427 Issued in KY
Legal business name
CORBIN MASSAGE THERAPY
Practice address
1805 S Main St Ste 4
Corbin, KY 40701-2405
Phone
(606) 258-1995
Fax
(606) 258-1996
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Ms. Lisa M. Hardy, LMT
Title
Owner/ Operator
Phone
(606) 258-1995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X KY0427 KY Primary

Addresses

Primary practice location

1805 S Main St Ste 4
Corbin, KY 40701-2405

Mailing address

1805 S Main St Ste 4
Corbin, KY 40701-2405
Phone (606) 258-1995

National Provider Directory

National Provider Directory

Locations

1805 S Main St
Ste 4
Corbin, KY 40701
Phone (606) 258-1995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1629314034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S MAIN ST STE 4",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012405",
            "telephone_number": "606-258-1995",
            "fax_number": "606-258-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S MAIN ST STE 4",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012405",
            "telephone_number": "606-258-1995",
            "fax_number": "606-258-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "606-258-1995",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY0427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.