Provider Demographics
NPI:1821285792
Name:WRABEK, MELANIE (MSPT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:WRABEK
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:LYNN
Other - Last Name:ENICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:7564 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50324-4621
Mailing Address - Country:US
Mailing Address - Phone:515-276-1111
Mailing Address - Fax:515-864-0391
Practice Address - Street 1:7564 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50324-4621
Practice Address - Country:US
Practice Address - Phone:641-757-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2819225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist