Provider Demographics
NPI:1164976841
Name:ALFUS, MELINDA M (DPT)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:M
Last Name:ALFUS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:M
Other - Last Name:MITZELFEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 UNIVERSITY OAKS BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-2429
Practice Address - Country:US
Practice Address - Phone:512-766-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070018808225100000X
TX1325100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist