Provider Demographics
NPI:1265663116
Name:ROMESBURG, MELANIE (PT)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:ROMESBURG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 14TH ST NE
Mailing Address - Street 2:APT 301
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-7678
Mailing Address - Country:US
Mailing Address - Phone:865-679-1959
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST., NE
Practice Address - Street 2:EMORY HOSPITAL-MIDTOWN
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-686-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist