Tekla Renee Bedwell, NCTMB
Individual provider Active NPI Massage Therapist · Indianapolis, IN
NPI 1891047643 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1891047643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 618108-12 (IN)
- Practice address
- 7855 S Emerson Ave Ste W
Indianapolis, IN 46237-8669 - Phone
- (317) 889-5340
- Fax
- (317) 889-5711
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 618108-12 | IN | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 618108-12 | IN | Yes |
Addresses
Primary practice location
7855 S Emerson Ave Ste W
Indianapolis, IN 46237-8669
Mailing address
7855 S Emerson Ave Ste W
Indianapolis, IN 46237-8669
Other providers in Indianapolis, IN
- Julie A Bednarski
- Olivia Joanna Bednarski
- Anna Kathryn Bedwell
- Cheryl M Bedwell
- Sandra Bedwell
- Bee Haven Holistic Health and Wellness Clinic
- Bee Homecare LLC
- Bee the Light Homecare LLC
- Bee Well Counseling LLC
- Bradford Michael Beebe
All providers in Indianapolis, 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 Oct 3, 2012. 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.