Provider Demographics
NPI:1699565325
Name:SINGLETON, MELISSA M (LMT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:SINGLETON
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GREGORY CIR
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-7438
Mailing Address - Country:US
Mailing Address - Phone:203-818-2078
Mailing Address - Fax:203-818-2078
Practice Address - Street 1:80 GREGORY CIR
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7438
Practice Address - Country:US
Practice Address - Phone:203-818-2078
Practice Address - Fax:203-818-2078
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9492225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist