Provider Demographics
NPI:1285663716
Name:HINTEMEYER, MELANIE S (RPT/LPT)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:S
Last Name:HINTEMEYER
Suffix:
Gender:F
Credentials:RPT/LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 E CLARK BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2324
Mailing Address - Country:US
Mailing Address - Phone:615-895-2800
Mailing Address - Fax:615-895-2860
Practice Address - Street 1:818 E CLARK BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2324
Practice Address - Country:US
Practice Address - Phone:615-895-2800
Practice Address - Fax:615-895-2860
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33012081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3646344Medicare ID - Type Unspecified
TN3729540Medicare ID - Type UnspecifiedGROUP ID