Terra De Paolo-Gullion, LMT
Individual provider Active NPI Massage Therapist · Yorktown, IN
NPI 1831946110 · NPPES record last updated May 3, 2024
Key facts
- NPI
- 1831946110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT22408225 (IN)
- Practice address
- 9212 W Smith St
Yorktown, IN 47396-1225 - Phone
- (765) 729-5808
- NPI assigned
- May 3, 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 |
|---|---|---|---|
| MT22408225 | IN | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT22408225 | IN | Yes |
Addresses
Primary practice location
9212 W Smith St
Yorktown, IN 47396-1225
Mailing address
831 N Jefferson St
Muncie, IN 47305-1427
Phone (765) 810-7381
Other practice location 1
2821 S A St
Elwood, IN 46036-2222
Phone (765) 729-5808
Other providers in Yorktown, IN
- Kyleigh Ann Brumley
- Rachel Leann Cantrell
- Cardinal Health Partners, LLC
- Larry Gene Cole
- Mae Cross
- Evergreen Health & Rehab Inc
- Evergreen Health & Rehab,Inc
- Paige Ann Fairchild
- Morgan Paige Fisher
- Focal Rehab LLC
All providers in Yorktown, IN · Massage Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 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.