Provider Demographics
NPI:1376768085
Name:WELCH, MELANIE JANE (P T)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JANE
Last Name:WELCH
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7637 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2549
Mailing Address - Country:US
Mailing Address - Phone:937-898-2200
Mailing Address - Fax:937-898-2234
Practice Address - Street 1:7637 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2549
Practice Address - Country:US
Practice Address - Phone:937-898-2200
Practice Address - Fax:937-898-2234
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3656225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist