Individual provider · Type 1 NPI

Melissa Ann Rivenbark, LMT

Massage Therapist · Melbourne, FL

NPI number 1053595306 Active

Practice location

1882 N Wickham Rd
Melbourne, FL 32935-8106

Call (321) 298-7836 Map

Fax (321) 254-9057

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA0028995 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1053595306

Melissa Ann Rivenbark, LMT's National Provider Identifier is 1053595306, issued on Dec 21, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Melbourne, FL. The record was last updated on Dec 21, 2007.