MEDICARE: MELYNDA WISE

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	R02450	MD

General Provider Information

NPI Number	:	1588103857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELYNDA WISE

Provider Business Mailing Address
First Line	:	9200 BRIDLE PATH LN
Second Line	:	UNIT H
City	:	LAUREL
State	:	MD
Zip	:	20723-1545
Country	:	US
Telephone Number	:	301-327-6466
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 LYNX LN
Second Line	:	SUITE 30
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2376
Country	:	US
Telephone Number	:	301-327-6466
Fax Number	:

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

Provider Enumeration Date	:	02/19/2017
Last Update Date	:	02/19/2017

Similar Medicare Providers

1922458769 — DYNAMIC DENTAL CARE, LLC
Practice Location Address:

5410 LYNX LN , SUITE 290
COLUMBIA, MD
21044-2376

Practice Phone: 410-910-9716
Practice Fax: 301-879-5430

1851941827 — STEPHANIE BOWEN LCSW-C
Practice Location Address:

5410 LYNX LN STE 285
COLUMBIA, MD
21044-2376

Practice Phone: 410-740-3240
Practice Fax:

1689562449 — VERONICA ANN JONES RMP
Practice Location Address:

5410 LYNX LN STE 18
COLUMBIA, MD
21044-2376

Practice Phone: 301-717-3461
Practice Fax:

1205794047 — CARMYN MCDUFFIE
Practice Location Address:

5410 LYNX LN STE 28
COLUMBIA, MD
21044-2376

Practice Phone: 240-552-7644
Practice Fax: 617-807-0958

1831140631 — KRISTEN D HAYES MSW, LCSW
Practice Location Address:

1411 ROLLINS RD
COLUMBIA, MO
65203-2376

Practice Phone: 573-449-5999
Practice Fax:

1255793006 — MEGAN VEON LGPC, ATR-BC
Practice Location Address:

8850 COLUMBIA 100 PKWY STE 203
COLUMBIA, MD
21045-2376

Practice Phone: 443-546-4476
Practice Fax: 443-546-4473

Directions to “ MELYNDA WISE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.