Provider Demographics
NPI:1841907540
Name:BECKLER, MELISSA MAE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MAE
Last Name:BECKLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 UNDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-3311
Mailing Address - Country:US
Mailing Address - Phone:804-920-9740
Mailing Address - Fax:
Practice Address - Street 1:6746 THIRLANE RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-2908
Practice Address - Country:US
Practice Address - Phone:540-400-8505
Practice Address - Fax:540-566-3924
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-007654225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist