Most Relevant Information
Provider Data
| NPI Number: | 1003173337 |
| Provider Name: | MELISSA SUZANNE BERENS LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00034498 |
Most Important Dates
| Enumeration Date: | 04/11/2012 |
| Last Updated: | 04/27/2019 |
Provider Practice Location
23639 126TH AVE SE
KENT
WA
980313701
Practice Location Phone/Fax
| Phone: | 2535693495 |
| Fax: |
Provider Mailing Location
23631 128TH AVE SE
KENT
WA
980313660
Provider Mailing Phone/Fax
| Phone: | 2535693495 |
| Fax: |