Provider Demographics
NPI:1912457854
Name:BRASHERS, MELANIE ASHLEIGH (DM)
Entity Type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:ASHLEIGH
Last Name:BRASHERS
Suffix:
Gender:F
Credentials:DM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STONE CIR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-5348
Mailing Address - Country:US
Mailing Address - Phone:870-612-9809
Mailing Address - Fax:
Practice Address - Street 1:1925 WHITE DRIVE
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501
Practice Address - Country:US
Practice Address - Phone:870-698-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTA-273224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant