Provider Demographics
NPI:1952677635
Name:CODAY, MELISSA F (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:F
Last Name:CODAY
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7789 NEWINGTON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2234
Mailing Address - Country:US
Mailing Address - Phone:703-372-1267
Mailing Address - Fax:
Practice Address - Street 1:7789 NEWINGTON WOODS DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-2234
Practice Address - Country:US
Practice Address - Phone:703-372-1267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306602451225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant