Provider Demographics
NPI:1396928024
Name:RESETARITS, MELODY
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:RESETARITS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 E. HARVARD AVE
Mailing Address - Street 2:STE 620
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-249-7987
Mailing Address - Fax:303-715-7057
Practice Address - Street 1:950 E. HARVARD AVE
Practice Address - Street 2:STE 620
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-249-7987
Practice Address - Fax:303-715-7057
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic