Provider Demographics
NPI:1841681244
Name:RICE, MELISSA (ATC)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATC
Mailing Address - Street 1:9021 46TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-5001
Mailing Address - Country:US
Mailing Address - Phone:253-508-4557
Mailing Address - Fax:
Practice Address - Street 1:2409 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6907
Practice Address - Country:US
Practice Address - Phone:206-633-8100
Practice Address - Fax:206-633-6107
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-07
Last Update Date:2017-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1 602870252255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer