MEDICARE: ANA MARIA MELENDEZ LMT

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	MT014961	GA

General Provider Information

NPI Number	:	1912837923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA MELENDEZ LMT

Provider Business Mailing Address
First Line	:	3646 CRAWFORDVILLE DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-9435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4434 COLUMBIA RD STE 101
Second Line	:
City	:	MARTINEZ
State	:	GA
Zip	:	30907-4558
Country	:	US
Telephone Number	:	706-250-2387
Fax Number	:

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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