Healthcare Provider Details

I. General information

NPI: 1780511006
Provider Name (Legal Business Name): MELANIE REBECCA CRAMER LMT, CYT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

697 MAIN ST
SOUTHBRIDGE MA
01550-3722
US

IV. Provider business mailing address

697 MAIN ST
SOUTHBRIDGE MA
01550-3722
US

V. Phone/Fax

Practice location:
  • Phone: 508-933-6166
  • Fax:
Mailing address:
  • Phone: 508-933-6166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number13670
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: