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MS. MELISSA LORRAINE WYNN CMT
NPI 1154102424
Massage Therapist in San Jose, CA

Active since October 11, 2023
1449 SHORTRIDGE AVE, SAN JOSE, CA 95116(408) 608-7909 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Melissa Lorraine Wynn Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MELISSA LORRAINE WYNN CMT (NPI 1154102424) is an individual massage therapist in San Jose, California, licensed in California (73052) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1154102424
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. MELISSA LORRAINE WYNNCredential: CMT
Location Address1449 SHORTRIDGE AVESan Jose, CA 95116-2351
Mailing AddressPo Box 720591San Jose, CA 95172-0591 · (408) 608-7909
Phone(408) 608-7909
Sole ProprietorYes
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1154102424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 73052
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1449 SHORTRIDGE AVE, San Jose, CA 95116
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Wynn's NPI number?

The NPI number for Melissa Wynn is 1154102424. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Melissa Wynn located?

Melissa Wynn practices at 1449 Shortridge Ave, San Jose, CA 95116. The listed phone number is (408) 608-7909.

What is Melissa Wynn's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Melissa Wynn was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.