Individual provider · Type 1 NPI
Melissa Ann McCollough, LMP
Massage Therapist · Deer Park, WA
NPI number
1912104498
Active
Practice location
20 East J Street Suite B
Deer Park, WA 99006
Mailing address
PO Box 821
Loon Lake, WA 99148-0821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00024298 (WA) |
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 1912104498
Melissa Ann McCollough, LMP's National Provider Identifier is 1912104498, issued on Jun 28, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Deer Park, WA. The record was last updated on Jul 8, 2007.