Provider Demographics
NPI:1801916200
Name:MORTON, MELANIE MITCHELL (PT, NCS)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:MITCHELL
Last Name:MORTON
Suffix:
Gender:F
Credentials:PT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3414
Mailing Address - Country:US
Mailing Address - Phone:901-729-5110
Mailing Address - Fax:901-729-5177
Practice Address - Street 1:2100 EXETER RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3922
Practice Address - Country:US
Practice Address - Phone:901-757-3458
Practice Address - Fax:901-757-3497
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6068225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist