Provider Demographics
NPI:1407149669
Name:VARGAS, MELISSA LEIGH (MT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LEIGH
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 S LIVINGSTON AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5419
Mailing Address - Country:US
Mailing Address - Phone:862-220-9662
Mailing Address - Fax:973-992-0734
Practice Address - Street 1:600 S LIVINGSTON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5419
Practice Address - Country:US
Practice Address - Phone:862-220-9662
Practice Address - Fax:973-992-0734
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2022-05-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist