Provider Demographics
NPI:1558672824
Name:MCCUE, MELISSA ANN (DPT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:MCCUE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 CHICORA FENELTON RD
Mailing Address - Street 2:
Mailing Address - City:FENELTON
Mailing Address - State:PA
Mailing Address - Zip Code:16034-9606
Mailing Address - Country:US
Mailing Address - Phone:724-445-3930
Mailing Address - Fax:
Practice Address - Street 1:505 HANSEN AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5679
Practice Address - Country:US
Practice Address - Phone:724-477-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist