Ray of Light Holistic Health, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT20900230 Issued in IN

Legal business name

RAY OF LIGHT HOLISTIC HEALTH, INC.

Practice address

1709 E Bristol St
Suite B
Elkhart, IN 46514-6606

Phone

(574) 264-2600

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Kristine Laidlaw, BS, CMT

Title

Owner

Phone

(574) 264-2600

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1750510541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 E BRISTOL ST",
            "address_2": "SUITE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146606",
            "telephone_number": "574-264-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 E BRISTOL ST",
            "address_2": "SUITE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146606",
            "telephone_number": "574-264-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF LIGHT HOLISTIC HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "LAIDLAW",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-264-2600",
        "authorized_official_credential": "BS, CMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000025A",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20900230",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudeepta A Rakhra, D.O.
• Laura P Ralston, MSW
• Saneka Ralston, RBT
• Daniela Ramirez
• Cassandra Rathbun
• Clair Ray, BCBA
• Mamoon A. Raza, M.D.
• Fredrick Reagan, MS
• Kristin Reed, RN, CRNA
• Teri Reed

• Massage Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.