Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Roudebush, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1720550619

Michelle Roudebush, MASSAGETHERAPIST is an Undefined Non-Physician Type (Specify) in Marion, Indiana. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2018

Practice location Address checks out

518 S Baldwin Ave
Marion, IN 46953-1373
Phone: (260) 377-9519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 21505618 (IN)

Record details

NPI number1720550619
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedDecember 18, 2018
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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