Provider Demographics
NPI:1295703817
Name:HUNDLING, MELANIE (DPT)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:HUNDLING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:LLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:11879 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:BREDA
Mailing Address - State:IA
Mailing Address - Zip Code:51436-8523
Mailing Address - Country:US
Mailing Address - Phone:712-673-4346
Mailing Address - Fax:
Practice Address - Street 1:3600 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-7595
Practice Address - Country:US
Practice Address - Phone:515-663-4824
Practice Address - Fax:515-663-4860
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist