Healthcare Provider Details

I. General information

NPI: 1003148644
Provider Name (Legal Business Name): MELANIE RAY SKAR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 MAIN ST. E GOOD SAMARITAN CENTER
MOHALL ND
58761
US

IV. Provider business mailing address

PO BOX 306 MELANIE RAY SKAR, PT
KENMARE ND
58746
US

V. Phone/Fax

Practice location:
  • Phone: 701-756-6831
  • Fax: 701-756-6357
Mailing address:
  • Phone: 701-385-3250
  • Fax: 701-385-3250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number1023
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number034446
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: