Provider Demographics
NPI:1467346536
Name:ELLER, MELISSA KAY (CMT)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:KAY
Last Name:ELLER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 JOHNSON ST UNIT 712
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94130-1435
Mailing Address - Country:US
Mailing Address - Phone:415-716-1723
Mailing Address - Fax:
Practice Address - Street 1:333 3RD ST STE 205
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1270
Practice Address - Country:US
Practice Address - Phone:415-227-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73559225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist