Healthcare Provider Details

I. General information

NPI: 1629981188
Provider Name (Legal Business Name): MELISSA RAE ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ROCK LITITZ BLVD STE 14
LITITZ PA
17543-1369
US

IV. Provider business mailing address

620 WAWASSAN DR
HONEY BROOK PA
19344-1012
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-8692
  • Fax:
Mailing address:
  • Phone: 223-533-1716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG14688
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: