Provider Demographics
NPI:1811601438
Name:RASILE, MELANIE SUE (LMT)
Entity type:Individual
Prefix:MS
First Name:MELANIE SUE
Middle Name:
Last Name:RASILE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25000 EUCLID AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2646
Mailing Address - Country:US
Mailing Address - Phone:216-731-9215
Mailing Address - Fax:216-731-5456
Practice Address - Street 1:25000 EUCLID AVE STE 302
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2646
Practice Address - Country:US
Practice Address - Phone:216-731-9215
Practice Address - Fax:216-731-5456
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist