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Amy Beth Burrell

Massage Therapist in Bloomington, IN. Individual provider (NPI-1).

NPI number1104468495
StatusActive
Last updated in NPPESAug 26, 2020

Details

NPI
1104468495
Entity type
Individual (NPI-1)
Name
Amy Beth Burrell
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2019
Certification date
Aug 26, 2020
Last updated
Aug 26, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT20902125INYes

Practice location

1713 N College Ave Ste 1
Bloomington, IN 47404-2479

Phone 812-337-3529

Mailing address

1318 W Kirkwood Ave
Bloomington, IN 47404-5062

Phone 812-325-2985

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Massage Therapist providers in Bloomington, IN

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