Malissamassagesllc
Registered Nurse, Nurse Massage Therapist (NMT) in Brentwood, CA. Organization (NPI-2).
NPI number1497508360
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1497508360
- Entity type
- Organization (NPI-2)
- Legal business name
- Malissamassagesllc
- Organization subpart
- No
- Enumeration date
- Apr 9, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | – | – | Yes |
Practice location
305 Coventry CirBrentwood, CA 94513-2792
Phone 925-529-5840
Mailing address
305 Coventry CirBrentwood, CA 94513-2792
Phone 925-529-5840
Authorized official
Malissa Marie Edwards
Owner
9255295840
Is something wrong?
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