| Doctor Name: | MELISSA D KIEFER |
| NPI Number: | 1063867281 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1183601 |
| Business Practice Address: | 1101 Central Expy S Suite 185 Allen, TX - 750138131 |
| Business Phone Number: | 2145096961 |
| Business Fax Number: | 2143820943 |
| Mailing Address: | 1101 Central Expy S, Suite 185 ALLEN |
| State: | TX |
| Postal Code: | 750138131 |
| Phone Number: | 2145096961 |
| Fax Number: | 2143820943 |
| NPI Enumeration Date: | 04/25/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 1183601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |