MEDICARE: MELISSA M RODKEY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8911	OH

General Provider Information

NPI Number	:	1437827375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA M RODKEY PT

Provider Business Mailing Address
First Line	:	31524 WINNERS CIR
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-4033
Country	:	US
Telephone Number	:	440-258-2356
Fax Number	:

Provider Business Practice Location Address
First Line	:	31524 WINNERS CIR
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-4033
Country	:	US
Telephone Number	:	440-258-2356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2021
Last Update Date	:	09/04/2021

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Directions to “ MELISSA M RODKEY PT” Practice Location

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