Provider Demographics
NPI:1790137339
Name:CHARLEY, MELANIE (DACM AND LMT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:CHARLEY
Suffix:
Gender:F
Credentials:DACM AND LMT
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 SKWENTNA DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4887
Mailing Address - Country:US
Mailing Address - Phone:907-960-1661
Mailing Address - Fax:
Practice Address - Street 1:5313 ARCTIC BLVD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1111
Practice Address - Country:US
Practice Address - Phone:907-960-1661
Practice Address - Fax:907-313-1534
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK107487225700000X
AK195146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist