Individual
MELISSA M MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, NCTMB
Contact information
Practice address
1490 LINCOLN GAP RD, WARREN, VT 05674-9826
(518) 755-5688
Mailing address
PO BOX 1581, WAITSFIELD, VT 05673-1581
(518) 755-5688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025248
NY
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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