Melissa K Allen, PT
Individual provider Active NPI Physical Therapist · Salt Lake City, UT
NPI 1861410144 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861410144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5992711-2401 (UT)
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5992711-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5992711-2401 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 510721
Salt Lake City, UT 84151-0721
Phone (801) 587-6872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59927112400001 | Other | UT | BLUE CROSS BLUE SHIELD ID |
Other providers in Salt Lake City, UT
- Kaylee Allen
- Kevin Allen
- Kristin Allen
- Louis S Allen
- Mackenna Elizabeth Allen
- Mitchell E. Allen
- Morgan Allen
- Natalie Holt Allen
- Nicole Allen
- Randi Lynn Allen
All providers in Salt Lake City, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.