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MALISSA M BORDELON LMT
NPI 1619264157
Massage Therapist in Long Beach, MS

Active since July 05, 2011
7198 BEATLINE RD, SUITE A, LONG BEACH, MS 39560(228) 868-9799 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Malissa M Bordelon Lmt NPPES

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

MALISSA M BORDELON LMT (NPI 1619264157) is an individual massage therapist in Long Beach, Mississippi, licensed in Mississippi (1861) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1619264157
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMALISSA M BORDELONCredential: LMT
Location Address7198 BEATLINE RD, SUITE ALong Beach, MS 39560-9146
Mailing AddressPo Box 8864Gulfport, MS 39506-8864 · (228) 223-7400
Phone(228) 868-9799
Sole ProprietorYes
Enumeration DateJuly 5, 2011
✔ NPI 1619264157 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 MS · 1861
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.
7198 BEATLINE RD, Long Beach, MS 39560
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOPE CHEST LLC
Durable Medical Equipment & Medical Supplies
7198 BEATLINE RD, SUITE E
LONG BEACH, MS 39560
Harrison County (228) 206-3756

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 Bordelon's NPI number?

The NPI number for Malissa Bordelon is 1619264157. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Malissa Bordelon located?

Malissa Bordelon practices at 7198 Beatline Rd Suite A, Long Beach, MS 39560. The listed phone number is (228) 868-9799.

What is Malissa Bordelon'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 Bordelon was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.