MEDICARE: MS. MELISSA BARRIOS-CASTREJON LMT

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	033931	NY

General Provider Information

NPI Number	:	1932079597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA BARRIOS-CASTREJON LMT

Provider Business Mailing Address
First Line	:	1909 UNION RD
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-2013
Country	:	US
Telephone Number	:	716-675-3380
Fax Number	:	716-675-3380

Provider Business Practice Location Address
First Line	:	1909 UNION RD
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-2013
Country	:	US
Telephone Number	:	716-675-3380
Fax Number	:	716-675-3380

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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