Hall, Melissa Dale

Hall, Melissa Dale is an sole proprietor health care provider with primary practice located at 2155 Old Moultrie Rd 107, St Augustine FL 32086-5102. 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. Hall, Melissa Dale can be contacted via phone (904) 501-5974.

Contact Information

Primary practice address
2155 Old Moultrie Rd 107 St Augustine FL 32086-5102
Phone: (904) 501-5974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA22809 Florida

Profile Details

NPI number 1376668087
LBN Legal business name Hall, Melissa Dale
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 9th, 2007 - about 18 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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