Doctor Name: | MELISSA NICOLE STURGILL |
NPI Number: | 1326253931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00020196 |
Business Practice Address: | 1033 First St. Cosmopolis, WA - 98537 |
Business Phone Number: | 3605806945 |
Business Fax Number: | 3605321093 |
Mailing Address: | Po Box 639, COSMOPOLIS |
State: | WA |
Postal Code: | 985370639 |
Phone Number: | 3605806945 |
Fax Number: | 3605321093 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00020196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |