Provider Demographics
NPI:1750529491
Name:SCHWANTES, MELODY BETH (MMT, MT-BC)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:BETH
Last Name:SCHWANTES
Suffix:
Gender:F
Credentials:MMT, MT-BC
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 166
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-0166
Mailing Address - Country:US
Mailing Address - Phone:828-773-1446
Mailing Address - Fax:
Practice Address - Street 1:254 KEYSTONE DR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4537
Practice Address - Country:US
Practice Address - Phone:828-773-1446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist