Active NPI
Lacey Tarrance
- Massage Therapist
- Bowling Green, KY
National Provider Identifier
1730635806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 107135
- Practice address
- 546 Park St Ste 200
Bowling Green, KY 42101-1780 - Phone
- (270) 745-9399
- NPI assigned
- Aug 29, 2016
- Last updated
- May 28, 2019
- 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 | 107135 | KY | Primary |
Addresses
Primary practice location
546 Park St Ste 200
Bowling Green, KY 42101-1780
Mailing address
546 Park St Ste 200
Bowling Green, KY 42101-1780
Phone (270) 745-9399
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107135 | KY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Body Therapeutics | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1730635806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 PARK ST STE 200",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011780",
"telephone_number": "270-745-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 PARK ST STE 200",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011780",
"telephone_number": "270-745-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRANCE",
"first_name": "LACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "107135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.