MEDICARE: MELANIE CRANE LMP

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	172M00000X	Mechanotherapist	MA 60238713	WA

General Provider Information

NPI Number	:	1689919565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE CRANE LMP

Provider Business Mailing Address
First Line	:	1030 N CENTER PKWY
Second Line	:	#319
City	:	KENNEWICK
State	:	WA
Zip	:	99336-7160
Country	:	US
Telephone Number	:	509-591-6210
Fax Number	:	509-222-2223

Provider Business Practice Location Address
First Line	:	1030 N CENTER PKWY
Second Line	:	#319
City	:	KENNEWICK
State	:	WA
Zip	:	99336-7160
Country	:	US
Telephone Number	:	509-591-6210
Fax Number	:	509-222-2223

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

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	12/04/2012

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Directions to “ MELANIE CRANE LMP” Practice Location

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