Provider Demographics
NPI:1013888023
Name:STANSBURY, MELISSA (NBC-HWC, ACSM-EP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:STANSBURY
Suffix:
Gender:F
Credentials:NBC-HWC, ACSM-EP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 MINERAL HILL RD
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6857
Mailing Address - Country:US
Mailing Address - Phone:410-802-3899
Mailing Address - Fax:
Practice Address - Street 1:5716 MINERAL HILL RD
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6857
Practice Address - Country:US
Practice Address - Phone:410-802-3899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist