Provider Demographics
NPI:1609544683
Name:GRIEFF, MELANI (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MELANI
Middle Name:
Last Name:GRIEFF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MELANI
Other - Middle Name:
Other - Last Name:GRAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 COLUMNS WAY APT 202
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-1469
Mailing Address - Country:US
Mailing Address - Phone:757-613-6521
Mailing Address - Fax:
Practice Address - Street 1:200 WINNERS CIR S
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5052
Practice Address - Country:US
Practice Address - Phone:615-221-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210271225100000X
TN136582251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2305210271OtherVA DEPT OF HEALTH PROFESSIONS- PHYSICAL THERAPIST
TN13658OtherTN DEPT OF HEALTH- PHYSICAL THERAPIST