Individual provider · Type 1 NPI
Mellisa Marie Everett, LMT
Massage Therapist · Los Lunas, NM
NPI number
1922500776
Active
Practice location
3414 Nm- 47
Los Lunas, NM 87031
Mailing address
90 Otero Rd
Los Lunas, NM 87031-5709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8806 (NM) |
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 1922500776
Mellisa Marie Everett, LMT's National Provider Identifier is 1922500776, issued on Mar 7, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Lunas, NM. The record was last updated on Mar 7, 2018.