Provider Demographics
NPI:1497163257
Name:CARDEN, MELINDA LAUGHTER (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:LAUGHTER
Last Name:CARDEN
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:DR
Other - First Name:MELINDA
Other - Middle Name:
Other - Last Name:LAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1211 UNION AVE
Mailing Address - Street 2:STE 195
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6638
Mailing Address - Country:US
Mailing Address - Phone:901-759-3280
Mailing Address - Fax:901-759-3297
Practice Address - Street 1:1211 UNION AVE
Practice Address - Street 2:STE 195
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6638
Practice Address - Country:US
Practice Address - Phone:901-759-3280
Practice Address - Fax:901-759-3297
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist