Provider Demographics
NPI:1184480980
Name:BRAMEL, MELISSA (MS OTR/L OH)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BRAMEL
Suffix:
Gender:F
Credentials:MS OTR/L OH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 TIMS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-8139
Mailing Address - Country:US
Mailing Address - Phone:859-274-5488
Mailing Address - Fax:
Practice Address - Street 1:505 SHOPPERS DR STE C
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-2808
Practice Address - Country:US
Practice Address - Phone:859-385-4195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY134076225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist