Provider Demographics
NPI:1770128100
Name:ALONZO, MELISSA LYNN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LYNN
Last Name:ALONZO
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LYNN
Other - Last Name:BUEHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 8963
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH LAKES
Mailing Address - State:CA
Mailing Address - Zip Code:93546-8963
Mailing Address - Country:US
Mailing Address - Phone:707-832-9719
Mailing Address - Fax:
Practice Address - Street 1:645 OLD MAMMOTH RD
Practice Address - Street 2:STE 9
Practice Address - City:MAMMOTH LAKES
Practice Address - State:CA
Practice Address - Zip Code:93546-2048
Practice Address - Country:US
Practice Address - Phone:707-832-9719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist