Provider Demographics
NPI:1457585978
Name:WAITE, MELANIE PATRICIA (LMT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:PATRICIA
Last Name:WAITE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8471 TURNPIKE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7027
Mailing Address - Country:US
Mailing Address - Phone:303-425-4825
Mailing Address - Fax:303-425-0023
Practice Address - Street 1:8471 TURNPIKE DR STE 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7027
Practice Address - Country:US
Practice Address - Phone:303-425-4825
Practice Address - Fax:303-425-0023
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist