Healthcare Provider Details

I. General information

NPI: 1528461472
Provider Name (Legal Business Name): MELISSA SEIPEL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 KAISER RD NW
OLYMPIA WA
98502
US

IV. Provider business mailing address

3021 KAISER RD NW
OLYMPIA WA
98502-3844
US

V. Phone/Fax

Practice location:
  • Phone: 360-556-4126
  • Fax:
Mailing address:
  • Phone: 360-556-4126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60497779
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: