Healthcare Provider Details

I. General information

NPI: 1508438532
Provider Name (Legal Business Name): MELISSA MARIE DOYLEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA MARIE MARTINEZ PT

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 01/11/2022
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

2849 E CROMWELL AVE
FRESNO CA
93720-6402
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-6000
  • Fax:
Mailing address:
  • Phone: 559-285-0530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number38590
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: