Provider Demographics
NPI:1346473410
Name:DOWELL, MELANIE JANAY (LMT)
Entity Type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:JANAY
Last Name:DOWELL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24063-0609
Mailing Address - Country:US
Mailing Address - Phone:540-808-6680
Mailing Address - Fax:540-552-6688
Practice Address - Street 1:460 TURNER ST NW
Practice Address - Street 2:SUITE 202
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-3325
Practice Address - Country:US
Practice Address - Phone:540-808-6680
Practice Address - Fax:540-552-6688
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019007239225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist