Healthcare Provider Details

I. General information

NPI: 1558953075
Provider Name (Legal Business Name): MELIKA MURPHY KASNER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 15TH ST STE 36A
SAN FRANCISCO CA
94103-5032
US

IV. Provider business mailing address

550 15TH ST STE 36A
SAN FRANCISCO CA
94103-5032
US

V. Phone/Fax

Practice location:
  • Phone: 415-701-1000
  • Fax: 415-701-1009
Mailing address:
  • Phone: 415-701-1000
  • Fax: 415-701-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberPT298742
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT298742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: