Provider Demographics
NPI:1033846712
Name:SELBY, MELANEE (NTP)
Entity Type:Individual
Prefix:
First Name:MELANEE
Middle Name:
Last Name:SELBY
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3693 W LADLE RAPIDS ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-7011
Mailing Address - Country:US
Mailing Address - Phone:503-330-4539
Mailing Address - Fax:
Practice Address - Street 1:3693 W LADLE RAPIDS ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-7011
Practice Address - Country:US
Practice Address - Phone:503-330-4539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach