| Doctor Name: | MELINDA RENEE WEBER |
| NPI Number: | 1093902116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT-643 |
| Business Practice Address: | 1321 W Northwood Center Ct Suite B Coeur D Alene, ID - 838144944 |
| Business Phone Number: | 2086657055 |
| Business Fax Number: | 2086657093 |
| Mailing Address: | Po Box 758, POST FALLS |
| State: | ID |
| Postal Code: | 838770758 |
| Phone Number: | 2087736400 |
| Fax Number: | 2087736800 |
| NPI Enumeration Date: | 10/02/2007 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |