Provider Demographics
NPI:1669824231
Name:ANDREWS, MELISSA MAY (LMT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MAY
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 1/2 8TH AVE
Mailing Address - Street 2:APT 17
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-3931
Mailing Address - Country:US
Mailing Address - Phone:970-978-5479
Mailing Address - Fax:
Practice Address - Street 1:2019 9TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3077
Practice Address - Country:US
Practice Address - Phone:970-978-5479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0012692225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist