Melissa McKenzie, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024461 Issued in WA

Practice address

4220 A St SE
Suite 103
Auburn, WA 98002-8620

Phone

(253) 833-4800

Fax

(253) 833-4801

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Melissa Demarce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeland Family Chiropractic Inc

  • Chiropractor
  • Auburn, WA
  • NPI 1073710505
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1275729154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 A ST SE",
            "address_2": "SUITE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028620",
            "telephone_number": "253-833-4800",
            "fax_number": "253-833-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 A ST SE",
            "address_2": "SUITE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028620",
            "telephone_number": "253-833-4800",
            "fax_number": "253-833-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MELISSA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DEMARCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip Joseph McGraw, MA70003444
• Emily D McGuinness
• Jack W McInerny, DC
• Lucie McKee, ARNP
• Kristine McKeehan
• Yurea McKinney
• Courtney Lynn McLaughlin, OTRL
• Samantha Leaman McLean, MFTA
• Talyah Marie McLennan, CPHT
• Richard McMonigal, MD

• Massage Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.