Provider Demographics
NPI:1831110980
Name:PYLE, MELANIE E (MPT, MS, ATC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:E
Last Name:PYLE
Suffix:
Gender:F
Credentials:MPT, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150227
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84415-0227
Mailing Address - Country:US
Mailing Address - Phone:801-430-2426
Mailing Address - Fax:
Practice Address - Street 1:2801 UNIVERSITY CIR
Practice Address - Street 2:WEBER STATE UNIVERSITY
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84408-2801
Practice Address - Country:US
Practice Address - Phone:801-430-2426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4553567-24012251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT4553567-2401OtherSTATE LICENSE