Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Malissa M Bordelon, LMT

Individual provider Massage Therapist · NPI 1619264157

Malissa M Bordelon, LMT is a Massage Therapist in Long Beach, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

7198 Beatline Rd Ste A
Long Beach, MS 39560-9146
Phone: (228) 868-9799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 1861 (MS)

Record details

NPI number1619264157
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJuly 5, 2011
Last updated in NPPESJuly 5, 2011

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