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MALISSA A BROCKUS LMT
NPI 1245795764
Massage Therapist in Colville, WA

Active since February 08, 2019
344 N MAIN ST STE 106, COLVILLE, WA 99114(509) 684-2755(509) 684-3882 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malissa A Brockus Lmt NPPES

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

MALISSA A BROCKUS LMT (NPI 1245795764) is an individual massage therapist in Colville, Washington, licensed in Washington (MA60919489) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1245795764
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMALISSA A BROCKUSCredential: LMT
Location Address344 N MAIN ST STE 106Colville, WA 99114-2344
Mailing Address344 N Main St Ste 106Colville, WA 99114-2344 · (509) 684-2755 · Fax (509) 684-3882
Phone(509) 684-2755
Fax(509) 684-3882
Sole ProprietorYes
Enumeration DateFebruary 8, 2019
✔ NPI 1245795764 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 WA · MA60919489
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.
344 N MAIN ST STE 106, Colville, WA 99114
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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 Malissa Brockus's NPI number?

The NPI number for Malissa Brockus is 1245795764. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Malissa Brockus located?

Malissa Brockus practices at 344 N Main St Ste 106, Colville, WA 99114. The listed phone number is (509) 684-2755.

What is Malissa Brockus'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 Malissa Brockus was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.