Provider Demographics
NPI:1124391537
Name:PARKER, MELANIE (DPT)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8906 W BROAD ST STE F
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-5827
Mailing Address - Country:US
Mailing Address - Phone:804-351-5824
Mailing Address - Fax:844-600-2797
Practice Address - Street 1:8906 W BROAD ST STE F
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5827
Practice Address - Country:US
Practice Address - Phone:804-351-5824
Practice Address - Fax:844-600-2797
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist