Provider / Organization | NPI | Date Certified |
---|---|---|
MELISSA ANN VICTORINE | 1205442787 | 2020-09-19 |
Melissa Ann Victorine is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205442787. Registration indicates Melissa Ann Victorine is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Melissa Ann Victorine LMT |
Practice Office Address | 3131 SMOKEY POINT DR STE 5B ARLINGTON, WA US |
Practice Office Telephone | 3606539600 |
Mailing Address | 17720 JIM CREEK RD ARLINGTON, WA 982238530 US |
Business Telephone | 2065036684 |
Code | Practice | License No State |
---|---|---|
225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 61080521
WA |
61080521 | OTHER | WA | LICENSED MASSAG |