MEDICARE: MELODY DAWN SPICER 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	33.018822	OH

General Provider Information

NPI Number	:	1972438992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY DAWN SPICER LMT

Provider Business Mailing Address
First Line	:	PO BOX 563
Second Line	:
City	:	NEW STRAITSVILLE
State	:	OH
Zip	:	43766-0563
Country	:	US
Telephone Number	:	740-590-6968
Fax Number	:

Provider Business Practice Location Address
First Line	:	12892 GREY ST
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-9638
Country	:	US
Telephone Number	:	740-590-6968
Fax Number	:

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

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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Directions to “ MELODY DAWN SPICER LMT” Practice Location

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