Provider Demographics
NPI:1346489903
Name:MALECHA, JANICE ACKLEY (RMT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ACKLEY
Last Name:MALECHA
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:MARIE
Other - Last Name:ACKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-2383
Mailing Address - Country:US
Mailing Address - Phone:612-321-0100
Mailing Address - Fax:612-321-9740
Practice Address - Street 1:501 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-2383
Practice Address - Country:US
Practice Address - Phone:612-321-0100
Practice Address - Fax:612-321-9740
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist