Provider Demographics
NPI:1780957514
Name:FARRAR, MELANIE FRANCES (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:FRANCES
Last Name:FARRAR
Suffix:
Gender:F
Credentials:PT, DPT
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 213
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88211-0213
Mailing Address - Country:US
Mailing Address - Phone:575-748-5071
Mailing Address - Fax:575-734-5331
Practice Address - Street 1:315 W WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-2865
Practice Address - Country:US
Practice Address - Phone:575-748-5071
Practice Address - Fax:575-734-5331
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1214776225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist