NPI 1942951330 · live from the CMS NPI Registry
Melinda J Dettmer, LMT
Massage Therapist in Eldersburg, MD. National Provider Identifier 1942951330, active.
NPI record
| NPI | 1942951330 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6300 Georgetown Blvd Ste 137-138, Eldersburg, MD 21784 |
| Practice phone | 443-531-5888 |
| Mailing address | 6807 Autumn View Dr, Sykesville, MD 21784 |
| Enumerated | January 17, 2022 |
| Last updated | January 17, 2022 |
| Sole proprietor | Yes |
| Other names | Melinda Roberts |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M02011 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.