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Individual

MS. MELISSA ELEANOR TRUDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1538
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538
NM BOARD MASSAGE THERAPY
NM
01
275119
ABMP
NM
01
3359
NCTMB
NM
Enumeration date
09/27/2007
Last updated
09/27/2007
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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