Provider Demographics
NPI:1740958750
Name:STEGER, MELISSA (LAC, LMT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:STEGER
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:
Other - Last Name:STEGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2859 PEBBLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7605
Mailing Address - Country:US
Mailing Address - Phone:301-910-1725
Mailing Address - Fax:
Practice Address - Street 1:9194 RED BRANCH RD STE M
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2005
Practice Address - Country:US
Practice Address - Phone:301-910-1725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM04705225700000X
MDU02837171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist