Provider Demographics
NPI:1093797334
Name:MEINERS, MELISSA FOY (PT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:FOY
Last Name:MEINERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:FOY
Other - Last Name:THIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:12115 SHERATON LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1613
Mailing Address - Country:US
Mailing Address - Phone:513-349-7777
Mailing Address - Fax:513-347-7299
Practice Address - Street 1:12115 SHERATON LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1613
Practice Address - Country:US
Practice Address - Phone:513-349-7777
Practice Address - Fax:513-347-7299
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT11127225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHTH4162474Medicare PIN