Provider Demographics
NPI:1326268285
Name:BITTECUFFER, MELANIE NICOLE (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:NICOLE
Last Name:BITTECUFFER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 MEADOW PARK DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-5614
Mailing Address - Country:US
Mailing Address - Phone:330-677-4325
Mailing Address - Fax:
Practice Address - Street 1:3227 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-3644
Practice Address - Country:US
Practice Address - Phone:330-689-5204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-002066174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist