MEDICARE: MELISSA ANN VOLK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00015998	WA

General Provider Information

NPI Number	:	1316190622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN VOLK

Provider Business Mailing Address
First Line	:	22007 MERIDAIN E SUITE D
Second Line	:
City	:	GRAHAM
State	:	WA
Zip	:	98338
Country	:	US
Telephone Number	:	253-262-2220
Fax Number	:	253-262-2221

Provider Business Practice Location Address
First Line	:	9812 205TH AVE E STE C
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-8382
Country	:	US
Telephone Number	:	253-863-6378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2008
Last Update Date	:	08/28/2023

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