Provider Demographics
NPI:1326577982
Name:RIEGER, MELISSA L (LMP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:RIEGER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 N DENNIS ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-3129
Mailing Address - Country:US
Mailing Address - Phone:509-783-7242
Mailing Address - Fax:509-783-7286
Practice Address - Street 1:207 N DENNIS ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-3129
Practice Address - Country:US
Practice Address - Phone:509-783-7242
Practice Address - Fax:509-783-7286
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60375847225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist