Provider Demographics
NPI:1609564301
Name:SCHENK, MELISSA FRANCES (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:FRANCES
Last Name:SCHENK
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 W BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9429
Mailing Address - Country:US
Mailing Address - Phone:610-679-4404
Mailing Address - Fax:
Practice Address - Street 1:815 W BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9429
Practice Address - Country:US
Practice Address - Phone:610-679-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG015149225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist