Provider Demographics
NPI:1841641024
Name:SCALFANO, MELANIE P (P T)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:P
Last Name:SCALFANO
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 CECIL ASHBURN DR SE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2567
Mailing Address - Country:US
Mailing Address - Phone:256-883-9494
Mailing Address - Fax:256-883-9490
Practice Address - Street 1:2089 CECIL ASHBURN DR SE
Practice Address - Street 2:SUITE 202
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2567
Practice Address - Country:US
Practice Address - Phone:256-883-9494
Practice Address - Fax:256-883-9490
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1540225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist