Provider Demographics
NPI:1225639586
Name:MELBYE, DAVID LOWELL (MT-BC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LOWELL
Last Name:MELBYE
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1393 E AXTON RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-9755
Mailing Address - Country:US
Mailing Address - Phone:651-437-6291
Mailing Address - Fax:
Practice Address - Street 1:1393 E AXTON RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-9755
Practice Address - Country:US
Practice Address - Phone:651-437-6291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist