Provider Demographics
NPI:1205267234
Name:ANTWEILER, MELANIE (PROSTHETIST)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:ANTWEILER
Suffix:
Gender:F
Credentials:PROSTHETIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 LIBBIES LN
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-9311
Mailing Address - Country:US
Mailing Address - Phone:828-399-0122
Mailing Address - Fax:
Practice Address - Street 1:256 MARSH LILY DR
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-9477
Practice Address - Country:US
Practice Address - Phone:828-399-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter