Bordelon, Malissa M

Bordelon, Malissa M is an sole proprietor health care provider with primary practice located at 7198 Beatline Rd Suite A, Long Beach MS 39560-9146. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bordelon, Malissa M can be contacted via phone (228) 868-9799.

Contact Information

Primary practice address
7198 Beatline Rd Suite A Long Beach MS 39560-9146
Phone: (228) 868-9799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1861 Mississippi

Profile Details

NPI number 1619264157
LBN Legal business name Bordelon, Malissa M
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2011
Last updated Jul 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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