Healthcare Provider Details

I. General information

NPI: 1205038916
Provider Name (Legal Business Name): MELISSA GELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7939 E ARAPAHOE RD STE 270
GREENWOOD VILLAGE CO
80112-6813
US

IV. Provider business mailing address

7939 E ARAPAHOE RD STE 270
GREENWOOD VILLAGE CO
80112-6813
US

V. Phone/Fax

Practice location:
  • Phone: 720-529-4802
  • Fax: 720-529-4842
Mailing address:
  • Phone: 720-529-4802
  • Fax: 720-529-4842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8594
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: