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Individual

MELANIE AUSBURNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, LPN

Contact information

Practice address
24935 VIRGIL H GOODE HIGHWAY, BOONES MILL, VA 24065
(540) 761-4605
Mailing address
24935 VIRGIL H. GOODE HWY, SUITE 102, BOONES MILL, VA 24065
(540) 761-4605

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019003478
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16338827
VA
Enumeration date
09/04/2024
Last updated
04/29/2026
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