Doctor Name: | MRS. MELISSA L MCMULLEN |
NPI Number: | 1801101753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 1194093 |
Business Practice Address: | 398 Hamilton Ave Fairbanks, AK - 997013537 |
Business Phone Number: | 9073744911 |
Business Fax Number: | |
Mailing Address: | 398 Hamilton Ave, FAIRBANKS |
State: | AK |
Postal Code: | 997013537 |
Phone Number: | 9073744911 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2010 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1194093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |