Individual
MELORA M MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
373 MCMANIGLE RD, BROOKVILLE, PA 15825-5533
(814) 849-2620
(814) 849-2620
Mailing address
373 MCMANIGLE RD, BROOKVILLE, PA 15825-5533
(814) 849-2620
(814) 849-2620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSG004588
LICENSED MASSAGE THERAPIST
PA
Enumeration date
04/14/2014
Last updated
04/14/2014
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