Active NPI
Steven W Spalding
- Massage Therapist
- Clarksville, IN
National Provider Identifier
1750997912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT21304595
- Practice address
- 4755 US-31 East
Clarksville, IN 47129 - Phone
- (812) 590-3800
- NPI assigned
- Sep 22, 2020
- Last updated
- Sep 22, 2020
- Sex
- Male
- 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 | MT21304595 | IN | Primary |
Addresses
Primary practice location
4755 US-31 East
Clarksville, IN 47129
Mailing address
700 Laurel Dr
Jeffersonville, IN 47130-5666
Phone (812) 542-1110
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 |
|---|---|---|---|
| MT21304595 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1750997912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LAUREL DR",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471305666",
"telephone_number": "812-542-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 US-31 EAST",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "47129",
"telephone_number": "812-590-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALDING",
"first_name": "STEVEN",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT21304595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.