Provider Demographics
NPI:1467114363
Name:KLINAR, MELINDA MARIE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:MARIE
Last Name:KLINAR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MELINDA
Other - Middle Name:MARIE
Other - Last Name:MOMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4394 W 202ND ST APT 207
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-1568
Mailing Address - Country:US
Mailing Address - Phone:814-722-0877
Mailing Address - Fax:
Practice Address - Street 1:10524 EUCLID AVE # C22
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2205
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT019313225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist