Provider Demographics
NPI:1235596537
Name:TREON, MELINDA M (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:M
Last Name:TREON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 N 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1422
Mailing Address - Country:US
Mailing Address - Phone:602-284-3526
Mailing Address - Fax:
Practice Address - Street 1:9364 E RAINTREE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2200
Practice Address - Country:US
Practice Address - Phone:480-661-1124
Practice Address - Fax:480-661-1125
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11915225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist