Provider Demographics
NPI:1558953075
Name:KASNER, MELIKA MURPHY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MELIKA
Middle Name:MURPHY
Last Name:KASNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 15TH ST STE 36A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5032
Mailing Address - Country:US
Mailing Address - Phone:415-701-1000
Mailing Address - Fax:415-701-1009
Practice Address - Street 1:550 15TH ST STE 36A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5032
Practice Address - Country:US
Practice Address - Phone:415-701-1000
Practice Address - Fax:415-701-1009
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT298742225XP0019X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation