Provider Demographics
NPI:1336968510
Name:COVIELLO, MELISSA ANNE (LMT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:COVIELLO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:LAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:15 ERMER RD UNIT 210
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-1272
Mailing Address - Country:US
Mailing Address - Phone:603-329-2014
Mailing Address - Fax:
Practice Address - Street 1:15 ERMER RD UNIT 210
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-1272
Practice Address - Country:US
Practice Address - Phone:603-329-2014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8438225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist