Individual provider Active NPI

Kristi Smith-Sallee, LMT, CMT

  • Massage Therapist
  • Corydon, IN
National Provider Identifier
1740530872
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1714 Issued in KY
Practice address
4383 Highway 62 NW
Corydon, IN 47112-6720
Phone
(502) 777-7987
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1714 KY Primary
Massage Therapist 225700000X MT20903153 IN

Addresses

Primary practice location

4383 Highway 62 NW
Corydon, IN 47112-6720

Mailing address

4383 Highway 62 NW
Corydon, IN 47112-6720
Phone (502) 777-7987

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

LicenseStateTypeSpecialty
1714KYMDClinical Psychologist
MT20903153INMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1740530872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 HIGHWAY 62 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471126720",
            "telephone_number": "502-777-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 HIGHWAY 62 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471126720",
            "telephone_number": "502-777-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-SALLEE",
        "first_name": "KRISTI",
        "credential": "LMT, CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "1714",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20903153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.