Doctor Name: | MRS. MELISSA ANN LAFOLLETTE |
NPI Number: | 1306847959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT MT |
License Number: | 33.013454 |
Business Practice Address: | 4440 Glen Este Withamsville Rd Cincinnati, OH - 452451318 |
Business Phone Number: | 5139433630 |
Business Fax Number: | 5137534308 |
Mailing Address: | 4701 Creek Rd, Suite 110 CINCINNATI |
State: | OH |
Postal Code: | 452428398 |
Phone Number: | 5137339333 |
Fax Number: | 5135882479 |
NPI Enumeration Date: | 08/04/2005 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.013454 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |