Doctor Name: | MELANIE GLASS WATTERS |
NPI Number: | 1255484580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PTH6021 |
Business Practice Address: | 2342 Mongwa Ovi Flagstaff, AZ - 860053531 |
Business Phone Number: | 2055315834 |
Business Fax Number: | |
Mailing Address: | 2342 Mongwa Ovi, FLAGSTAFF |
State: | AZ |
Postal Code: | 860053531 |
Phone Number: | 2055315834 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH6021 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
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 |