Provider Demographics
NPI:1518097187
Name:NAGEL, MELINDA JACQUELYN (PT)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:JACQUELYN
Last Name:NAGEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 GILBERT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1402
Mailing Address - Country:US
Mailing Address - Phone:513-346-1650
Mailing Address - Fax:513-245-5424
Practice Address - Street 1:1801 GILBERT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1402
Practice Address - Country:US
Practice Address - Phone:513-346-1650
Practice Address - Fax:513-245-5424
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist