Melissa Kin
Individual provider Active NPI Massage Therapist · Leicester, VT
NPI 1487971503 · NPPES record last updated Apr 29, 2010
Key facts
- NPI
- 1487971503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 431026-00 (VT)
- Practice address
- 110 Lake Dunmore Rd
Leicester, VT 05733-9276 - Phone
- (802) 989-4878
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431026-00 | VT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 431026-00 | VT | Yes |
Addresses
Primary practice location
110 Lake Dunmore Rd
Leicester, VT 05733-9276
Mailing address
110 Lake Dunmore Rd
Leicester, VT 05733-9276
Phone (802) 989-4878
Other providers in Leicester, VT
All providers in Leicester, VT · Massage Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.