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NPI Code Detail

MEDICARE: BRANDON MELESTER PT

MEDICARE: BRANDON MELESTER 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
1225100000XPhysical Therapist1265906TX
2225100000XPhysical TherapistPTL.0015207CO

General Provider Information

NPI Number : 1992241368
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON MELESTER PT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-682-8840
Fax Number : 423-602-2028
Provider Business Practice Location Address
First Line : 3204 N ACADEMY BLVD STE 300
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5164
Country : US
Telephone Number : 719-323-6224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 02/24/2025

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Directions to “ BRANDON MELESTER PT” Practice Location

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