Provider Demographics
NPI:1386197986
Name:GALBREATH, MELODYE
Entity Type:Individual
Prefix:
First Name:MELODYE
Middle Name:
Last Name:GALBREATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELODYE
Other - Middle Name:L
Other - Last Name:GALBREATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, CLT
Mailing Address - Street 1:886 WOOLEY RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41041-7113
Mailing Address - Country:US
Mailing Address - Phone:606-849-4657
Mailing Address - Fax:
Practice Address - Street 1:886 WOOLEY RD
Practice Address - Street 2:
Practice Address - City:FLEMINGSBURG
Practice Address - State:KY
Practice Address - Zip Code:41041-7113
Practice Address - Country:US
Practice Address - Phone:606-849-4657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000914225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist