Melissa Blackburn, LMT is a
Massage Therapist based in Blanco, Texas. Melissa Blackburn is licensed to practice in Texas (license number MT-100302) and her current practice location is
718 4th St, Blanco, Texas. She can be reached at her office (for appointments etc.) via phone at
(830) 385-2194.
NPI number for Melissa Blackburn is 1174355143 and her current mailing address is Po Box 1362, Blanco, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174355143.
Healthcare Provider's Profile
| Full Name | Melissa Blackburn |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 718 4th St, Blanco, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174355143
- Provider Enumeration Date: 08/17/2024
- Last Update Date: 08/17/2024
Medical Identifiers
Medical identifiers for Melissa Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174355143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | MT-100302 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Melissa Blackburn, LMT Po Box 1362, Blanco, TX 78606-1362 Ph: (830) 385-2194 | Melissa Blackburn, LMT 718 4th St, Blanco, TX 78606-5569 Ph: (830) 385-2194 |
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