Dorothy Fay Hartman Umphress, LMT
Individual provider Active NPI Massage Therapist · Bloomfield, IA
NPI 1770317364 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1770317364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 088086 (IA)
- Practice address
- 108 W Jefferson St
Bloomfield, IA 52537-1750 - Phone
- (641) 208-6040
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088086 | IA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 088086 | IA | Yes |
Addresses
Primary practice location
108 W Jefferson St
Bloomfield, IA 52537-1750
Mailing address
108 W Jefferson St
Bloomfield, IA 52537-1750
Phone (641) 208-6040
Other providers in Bloomfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.