MEDICARE: MISS MELISSA FERN PEREZ LMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00024245	WA

General Provider Information

NPI Number	:	1447429543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MELISSA FERN PEREZ LMP

Provider Business Mailing Address
First Line	:	2445 4TH AVE S
Second Line	:	SUITE 112
City	:	SEATTLE
State	:	WA
Zip	:	98134-1939
Country	:	US
Telephone Number	:	206-467-7202
Fax Number	:	206-622-0616

Provider Business Practice Location Address
First Line	:	2445 4TH AVE S
Second Line	:	SUITE 112
City	:	SEATTLE
State	:	WA
Zip	:	98134-1939
Country	:	US
Telephone Number	:	206-467-7202
Fax Number	:	206-622-0616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	02/22/2008

Similar Medicare Providers

1477683837 — ALEX SELINSKY D.C.
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1487861811 — ANGELA WILLIAMS
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1225223258 — PAIN TREATMENT & WELLNESS CENTER PC.
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1275700536 — MS. BARBARA MARIA ECKER-RUST
Practice Location Address:

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SEATTLE, WA
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1679734750 — HIROMI T MULDOON
Practice Location Address:

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98134-1939

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1134446438 — MRS. CHRISTIANNA LYNN MALLON
Practice Location Address:

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98134-1939

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Practice Fax: 206-622-0616

Directions to “ MISS MELISSA FERN PEREZ LMP” Practice Location

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