Melissa Bertolino, MASSAGE THERAPY
Individual provider Active NPI Massage Therapist · Roberts, MT
NPI 1689081200 · NPPES record last updated Jul 15, 2014
Key facts
- NPI
- 1689081200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 217 (MT)
- Practice address
- 11 Bertolino LN
Roberts, MT 59070-9576 - Phone
- (406) 598-3301
- NPI assigned
- Jul 15, 2014
- 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 |
|---|---|---|---|
| 217 | MT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 217 | MT | Yes |
Addresses
Primary practice location
11 Bertolino LN
Roberts, MT 59070-9576
Mailing address
11 Bertolino Lane
Roberts, MT 59070
Phone (406) 598-3301
Other providers in Roberts, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2014. 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.