IndividualActive
Malissa Edwards
NPI 1902488463 · Nurse Massage Therapist (NMT) · Brentwood, CA
Provider details
- NPI number
- 1902488463
- Entity type
- Individual
- Primary specialty
- Nurse Massage Therapist (NMT)Nursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 72756 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1700 Trilogy Pkwy
Brentwood, CA 94513-6731
Phone: (925) 809-7171
Approximate (ZIP-level) locationGet directions
Mailing address
2154 Bridgeport Loop
Discovery Bay, CA 94505-2323
Registry dates
- Enumerated
- 2021-04-24
- Last updated
- 2021-04-24
- Certified
- 2021-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.