Healthcare Provider Details

I. General information

NPI: 1184538316
Provider Name (Legal Business Name): MELISSA HOWINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 N MASSEY BLVD
NIXA MO
65714-8307
US

IV. Provider business mailing address

1524 S APPOMATTOX AVE
REPUBLIC MO
65738-7800
US

V. Phone/Fax

Practice location:
  • Phone: 417-342-5654
  • Fax:
Mailing address:
  • Phone: 254-319-6027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2026040084
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: