Healthcare Provider Details

I. General information

NPI: 1760664858
Provider Name (Legal Business Name): MELISSA DAWN SEAY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 6TH AVE
HUNTINGTON WV
25701-1912
US

IV. Provider business mailing address

6658 BEECH FORK RD
BARBOURSVILLE WV
25504-9504
US

V. Phone/Fax

Practice location:
  • Phone: 304-522-3544
  • Fax: 740-236-4184
Mailing address:
  • Phone: 304-522-3544
  • Fax: 740-236-4184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2005-1915
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: