Provider Demographics
NPI:1013249010
Name:GUNTER, MELISSA BETH (OTR/L, CIMI)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:BETH
Last Name:GUNTER
Suffix:
Gender:F
Credentials:OTR/L, CIMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CHATHAM LN
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-4006
Mailing Address - Country:US
Mailing Address - Phone:865-387-0027
Mailing Address - Fax:865-483-7189
Practice Address - Street 1:100 CHATHAM LN
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-4006
Practice Address - Country:US
Practice Address - Phone:865-387-0027
Practice Address - Fax:865-483-7189
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2824225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist