Provider Demographics
NPI:1346322484
Name:BAKER, MELINDA E (MPT)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:E
Last Name:BAKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:E
Other - Last Name:POHLMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:12790 TR 25
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45814-9702
Mailing Address - Country:US
Mailing Address - Phone:419-957-9852
Mailing Address - Fax:
Practice Address - Street 1:12790 TR 25
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:45814-9702
Practice Address - Country:US
Practice Address - Phone:419-957-9852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist