Individual provider · Type 1 NPI

Melissa Lorraine Wynn, CMT

Massage Therapist · San Jose, CA

NPI number 1154102424 Active

Practice location

1449 Shortridge Ave
San Jose, CA 95116-2351

Call (408) 608-7909 Map

Mailing address

PO Box 720591
San Jose, CA 95172-0591

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X73052 (CA)

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 1154102424

Melissa Lorraine Wynn, CMT's National Provider Identifier is 1154102424, issued on Oct 11, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Jose, CA. The record was last updated on Oct 11, 2023.