Melissa Duffy, LMT
Individual provider Active NPI Massage Therapist · Maywood, NJ
NPI 1639792161 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1639792161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18KT01291000 (NJ)
- Practice address
- 455 Poplar Ave
Maywood, NJ 07607-1243 - Phone
- (201) 870-1751
- NPI assigned
- May 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 18KT01291000 | NJ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caressing Care, LLC | Massage Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT01291000 | NJ | Yes |
Addresses
Primary practice location
455 Poplar Ave
Maywood, NJ 07607-1243
Mailing address
455 Poplar Ave
Maywood, NJ 07607-1243
Phone (201) 870-1751
Other names
- Melissa Mangin
Other providers in Maywood, NJ
- Amabelle Daplin-Stech
- Dental Arts of Maywood, LLP
- Tiffany A Dickman
- Nadine Mary Distefano
- Dr. Charles M Shiel
- Eastern DME LLC
- Ec French, MD, PC
- Nicole Alexandra Eckert
- Linda Engler
- Epic Therapeutic Solutions LLC
All providers in Maywood, NJ · Massage Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2020. 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.