Muscle Therapy Clinic LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MUSCLE THERAPY CLINIC LLC

Practice address

6409 Georgetown North Blvd
Fort Wayne, IN 46815

Phone

(260) 492-9999

Fax

(260) 969-1105

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Sue Jalae-Brown, CERTIFIED MASSAGE TH

Title

Owner

Phone

(260) 492-9999

Specialties & licenses 1

Addresses

Tax ID family

Massage Therapy Clinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Massage Therapy Clinc

  • Massage Therapist
  • Fort Wayne, IN
  • NPI 1841534526
  NPD tax ID

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720294432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 GEORGETOWN NORTH BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46815",
            "telephone_number": "260-492-9999",
            "fax_number": "260-969-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 GEORGETOWN NORTH BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46815",
            "telephone_number": "260-492-9999",
            "fax_number": "260-969-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE THERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JALAE-BROWN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-492-9999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED MASSAGE TH"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura R Murphy, LMHC
• Magdelana Murray, RBT
• Bree Murua-Cuney, LMHC
• Vladimir N Murzin, MD
• Muzammil Hanif Musani, M.D
• Heidi L Musgrave, PH.D
• John M Musgrave, PSY.D
• Robert H. Musselman, M.D.
• Joy D Musser
• Kavitha Muthusamy

• Massage Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.