Melissa Kate Merritt, LMT
Individual provider Active NPI Massage Therapist · Avondale Estates, GA
NPI 1962703579 · NPPES record last updated Nov 12, 2010
Key facts
- NPI
- 1962703579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT0004156 (GA)
- Practice address
- 12 Berkeley Rd
#2
Avondale Estates, GA 30002-1467 - Phone
- (404) 920-8492
- Fax
- (404) 920-8641
- NPI assigned
- Nov 12, 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 |
|---|---|---|---|
| MT0004156 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT0004156 | GA | Yes |
Addresses
Primary practice location
12 Berkeley Rd
#2
Avondale Estates, GA 30002-1467
Mailing address
12 Berkeley Rd
#2
Avondale Estates, GA 30002-1467
Other providers in Avondale Estates, GA
- Lucretia Dubose Psychotherapy
- Lumina Birth
- Michielle Maggard
- Cierra McLeod
- Meaningful Living LLC
- Tiffani Michel
- Michelle Murray
- New Perspectives Psychotherapy LLC
- Mary Ngoctran Nguyen
- Alexandra Nunez
All providers in Avondale Estates, GA · Massage Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 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.