Provider Demographics
NPI:1740322569
Name:WASHINGTON, MELODY (DPT)
Entity type:Individual
Prefix:DR
First Name:MELODY
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 STATE DOCKS RD
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-3354
Mailing Address - Country:US
Mailing Address - Phone:334-688-1430
Mailing Address - Fax:334-688-1435
Practice Address - Street 1:515 STATE DOCKS RD
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-3354
Practice Address - Country:US
Practice Address - Phone:334-688-1430
Practice Address - Fax:334-688-1435
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist