Melissa Sue Koenig, LMT
Health Maintenance Organization in Cleveland, OH. Individual provider (NPI-1).
NPI number1952603656
StatusActive
Last updated in NPPESDec 1, 2010
Details
- NPI
- 1952603656
- Entity type
- Individual (NPI-1)
- Name
- Miss Melissa Sue Koenig
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2010
- Last updated
- Dec 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 018933 | OH | Yes |
Practice location
3366 E 55th StCleveland, OH 44127-1638
Phone 216-271-1133
Mailing address
9555 Green Valley DrMentor, OH 44060-6565
Phone 440-350-0265
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