MELLOW MASSAGE LTD. NPI 1295483147

NPI Information

  • NPI: 1295483147
  • Provider Name: MELLOW MASSAGE LTD.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 4023 RIDGE AVE
    PHILADELPHIA, PA
    ZIP 19129
  • Phone: (856) 297-5085

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NPI Details

MELLOW MASSAGE LTD. is a clinic center in Philadelphia, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MELLOW MASSAGE LTD. NPI is 1295483147. The provider is registered as an organization entity type.

The provider's business location address is:

4023 RIDGE AVE
PHILADELPHIA, PA
ZIP 19129-544
Phone: (856) 297-5085

The provider's authorized official is Gerrae L Simons Miller .
The authorized official title is Owner and has the following contact phone number (856) 297-5085.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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