Provider Demographics
NPI:1194075812
Name:BENEFIEL, MELISSA ANN (PT,DPTATC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:BENEFIEL
Suffix:
Gender:F
Credentials:PT,DPTATC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5305 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7824
Mailing Address - Country:US
Mailing Address - Phone:972-529-9292
Mailing Address - Fax:972-529-9293
Practice Address - Street 1:5305 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7824
Practice Address - Country:US
Practice Address - Phone:972-529-9292
Practice Address - Fax:972-529-9293
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1241450225100000X
ALPTH6599225100000X
TN9217225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist