Doctor Name: | MRS. MELODY ANN EDWARDS |
NPI Number: | 1548396732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT-695 |
Business Practice Address: | 25 14th Ave S Nampa, ID - 836514394 |
Business Phone Number: | 2084651890 |
Business Fax Number: | 2084679131 |
Mailing Address: | 6599 Warren Spur Rd, MELBA |
State: | ID |
Postal Code: | 836415227 |
Phone Number: | 2084093565 |
Fax Number: | 2084679131 |
NPI Enumeration Date: | 02/24/2007 |
NPI Last Update Date: | 04/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-695 |
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 |