Beth Ann Denniston, MT
Massage Therapist in Bloomington, IN. Individual provider (NPI-1).
NPI number1962065813
StatusActive
Last updated in NPPESApr 16, 2019
Details
- NPI
- 1962065813
- Entity type
- Individual (NPI-1)
- Name
- Beth Ann Denniston
- Credential
- MT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2019
- Last updated
- Apr 16, 2019
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 | Mt21405186 | IN | Yes |
Practice location
341 S Lincoln St Apt 4Bloomington, IN 47401-2705
Phone 812-369-9910
Mailing address
4123 W Sierra DrBloomington, IN 47403-5138
Phone 812-369-9910
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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.
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