Individual
MS. MELANIE R YALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS LMT NMT
Contact information
Practice address
1102 HAYS ST, TALLAHASSEE, FL 32301
(850) 386-5629
Mailing address
PO BOX 1562, TALLAHASSEE, FL 32302-1562
(850) 386-5629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0012285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5293
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/12/2007
Last updated
07/08/2007
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