Provider Demographics
NPI:1760787360
Name:BIERLEIN, MELINDA EVE (PT)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:EVE
Last Name:BIERLEIN
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 1:5460 W. ROLLING HILLS DRIVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:MI
Mailing Address - Zip Code:48722
Mailing Address - Country:US
Mailing Address - Phone:989-272-4500
Mailing Address - Fax:989-272-4501
Practice Address - Street 1:5460 W. ROLLING HILLS DRIVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:MI
Practice Address - Zip Code:48722
Practice Address - Country:US
Practice Address - Phone:989-272-4500
Practice Address - Fax:989-272-4501
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501015470225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist