Darryl Deal
Massage Therapist in Mishawaka, IN. Individual provider (NPI-1).
NPI number1497564512
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1497564512
- Entity type
- Individual (NPI-1)
- Name
- Darryl Deal
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2025
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
229 Red Coach Dr Ste 106Mishawaka, IN 46545-3195
Phone 574-318-7800 · Fax 574-318-7839
Mailing address
229 Red Coach Dr Ste 106Mishawaka, IN 46545-3195
Phone 574-318-7800 · Fax 574-318-7839
Is something wrong?
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.
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All 19 Massage Therapist providers in Mishawaka · All 1,883 providers in Mishawaka
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