Provider Demographics
NPI:1396032272
Name:MELCHERT, KARLA JEAN (PT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:JEAN
Last Name:MELCHERT
Suffix:
Gender:F
Credentials:PT
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Other - Credentials:
Mailing Address - Street 1:2250 NW 26TH ST
Mailing Address - Street 2:SISTER KENNY REHAB INSTITUTE - OWATONNA HOSPITAL
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-5503
Mailing Address - Country:US
Mailing Address - Phone:507-977-2178
Mailing Address - Fax:507-977-2180
Practice Address - Street 1:2250 NW 26TH ST
Practice Address - Street 2:SISTER KENNY REHAB INSTITUTE - OWATONNA HOSPITAL
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-5503
Practice Address - Country:US
Practice Address - Phone:507-977-2178
Practice Address - Fax:507-977-2180
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN5851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist