Provider Demographics
NPI:1942274758
Name:MEES, MELISSA (PT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:MEES
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 1:109 MCDOUGALL DR
Mailing Address - Street 2:STE 4
Mailing Address - City:LINCOLN
Mailing Address - State:ND
Mailing Address - Zip Code:58504-8139
Mailing Address - Country:US
Mailing Address - Phone:701-223-6613
Mailing Address - Fax:
Practice Address - Street 1:1033 BASIN AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6649
Practice Address - Country:US
Practice Address - Phone:701-223-6613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND24225OtherBCBS PROVIDER NUMBER
ND24225OtherBCBS PROVIDER NUMBER
ND911797972OtherTAX ID NUMBER
NDQ09905Medicare UPIN