Provider Demographics
NPI:1194885020
Name:HAGER, MELISSA A (MSPT DPT)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:A
Last Name:HAGER
Suffix:
Gender:F
Credentials:MSPT DPT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ROUTE 209
Mailing Address - Street 2:PO BOX 1020
Mailing Address - City:KREGESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18333
Mailing Address - Country:US
Mailing Address - Phone:610-681-3637
Mailing Address - Fax:610-681-6344
Practice Address - Street 1:WEST END PHYSICAL THERAPY
Practice Address - Street 2:ROUTE 209
Practice Address - City:KRESGERVILLE
Practice Address - State:PA
Practice Address - Zip Code:18333
Practice Address - Country:US
Practice Address - Phone:910-681-3637
Practice Address - Fax:610-681-6344
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist