Individual
MELISSA MCKENZY-SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1210 N MAIN ST, LAS CRUCES, NM 88001-1102
(575) 449-6504
Mailing address
314 PHILLIPS DR, LAS CRUCES, NM 88005-1661
(575) 449-6504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8894
NM
Other
Enumeration date
05/01/2018
Last updated
01/03/2025
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