Provider Demographics
NPI:1447388384
Name:GUINN, MELISSA MARIE (MS, ATC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:GUINN
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARIE
Other - Last Name:SEIDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC
Mailing Address - Street 1:3521 BURNS TRL
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37419-1201
Mailing Address - Country:US
Mailing Address - Phone:423-425-5547
Mailing Address - Fax:423-425-2266
Practice Address - Street 1:501 HOUSTON ST
Practice Address - Street 2:METRO ANNEX 202
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3409
Practice Address - Country:US
Practice Address - Phone:423-425-5547
Practice Address - Fax:423-425-2266
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer