Provider Demographics
NPI:1356551402
Name:FILIPPELLO, MELISSA ROSE (DC, MS, BA)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ROSE
Last Name:FILIPPELLO
Suffix:
Gender:F
Credentials:DC, MS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 484
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-1809
Mailing Address - Country:US
Mailing Address - Phone:480-292-2829
Mailing Address - Fax:
Practice Address - Street 1:8490 S POWER RD
Practice Address - Street 2:SUITE 105, PMB 103
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297
Practice Address - Country:US
Practice Address - Phone:480-292-2829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4368111NR0400X
AZ133N00000X
AZ7684111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No133N00000XDietary & Nutritional Service ProvidersNutritionist