Active NPI
Dian Sutor Krumlauf, MASSAGE THERAPIST
- Massage Therapist
- Bloomington, IN
National Provider Identifier
1700917135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 600 N Jordan Ave
Bloomington, IN 47405-3190 - Phone
- (812) 855-7338
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
600 N Jordan Ave
Bloomington, IN 47405-3190
Mailing address
1011 W Cottage Grove Ave
Bloomington, IN 47404-3227
Phone (812) 336-8455
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700917135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W COTTAGE GROVE AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043227",
"telephone_number": "812-336-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N JORDAN AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474053190",
"telephone_number": "812-855-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMLAUF",
"first_name": "DIAN",
"middle_name": "SUTOR",
"name_prefix": "Ms.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
- Kroger Limited Partnership I (Kroger Pharmacy #330)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Arthur Frederick Kruggel, M.S.
- Thomas Mark Kuhn, MSNANP
- Michael Lamar Kukulka
- Kavya Kumar, RBT
- Pooja Kumar, D.D.S
- Priya P. Kumar, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.