| Doctor Name: | MELONY MCDERMOTT |
| NPI Number: | 1356709224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 080321 |
| Business Practice Address: | 234 West St S Southview Plaza Suite 4 Grinnell, IA - 501128160 |
| Business Phone Number: | 6412364506 |
| Business Fax Number: | 6412364316 |
| Mailing Address: | 234 West St S, Southview Plaza Suite 4 GRINNELL |
| State: | IA |
| Postal Code: | 501128160 |
| Phone Number: | 6412364506 |
| Fax Number: | 6412364316 |
| NPI Enumeration Date: | 02/05/2016 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 080321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |