Marilyn Davis

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT20901934 Issued in IN

Practice address

2511 E 46TH St
Suite Q-7
Indianapolis, IN 46205-2460

Phone

(317) 362-3479

NPI assigned

Oct 28, 2009

Last updated

Oct 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1902132772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 E 46TH ST",
            "address_2": "SUITE Q-7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052460",
            "telephone_number": "317-362-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 E 46TH ST",
            "address_2": "SUITE Q-7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052460",
            "telephone_number": "317-362-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "MT20901934",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20901934",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "IN",
            "license": "MT20901934",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IN",
            "license": "MT20901934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Davis, M.A., CCC-SLP
• Laurence Deaubrey Davis, D.D.S
• Leroy Davis
• Louanne Whitman Davis, PSY.D.
• Margaret J Davis
• Martha M Davis, PSY.D.
• Mary Davis, CCC-SLP
• Mary Margaret Davis, M.D., M.S.
• Matthew James Davis
• Matthew Miller Davis, D.D.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.