MEDICARE: MELISSA VALLEJO

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	MA70071847	WA

General Provider Information

NPI Number	:	1316899149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA VALLEJO

Provider Business Mailing Address
First Line	:	1359 HIGHWAY 28 W UNIT 37
Second Line	:
City	:	EPHRATA
State	:	WA
Zip	:	98823-9689
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1342 S PIONEER WAY
Second Line	:
City	:	MOSES LAKE
State	:	WA
Zip	:	98837-2410
Country	:	US
Telephone Number	:	509-707-0079
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ MELISSA VALLEJO ” Practice Location

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