Provider Demographics
NPI:1184502809
Name:REED, MELANIE Q (NMT, LMT)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:Q
Last Name:REED
Suffix:
Gender:F
Credentials:NMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 POSEY RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-0922
Mailing Address - Country:US
Mailing Address - Phone:404-316-4694
Mailing Address - Fax:
Practice Address - Street 1:197 POSEY RD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-0922
Practice Address - Country:US
Practice Address - Phone:404-316-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT004476225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist