IndividualActive
Angela Matthews, LMT
NPI 1972081693 · Massage Therapist · Bloomington, IN
Provider details
- NPI number
- 1972081693
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT-21906764 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
840 W 17th St Ste 9
Bloomington, IN 47404-3379
Phone: (865) 228-1566
Approximate (ZIP-level) locationGet directions
Mailing address
840 W 17th St Ste 9
Bloomington, IN 47404-3379
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.