Individual
MELISSA ANN RIVENBARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1882 N WICKHAM RD, MELBOURNE, FL 32935-8106
(321) 298-7836
(321) 254-9057
Mailing address
1882 N WICKHAM RD, MELBOURNE, FL 32935-8106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0028995
FL
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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