Provider Demographics
NPI:1306634506
Name:MELCHOR HOWARD, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MELCHOR HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIA
Other - Middle Name:
Other - Last Name:MELCHOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PREFERRED NAME
Mailing Address - Street 1:561 S OREM BLVD STE L2
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-3105
Mailing Address - Country:US
Mailing Address - Phone:833-829-1209
Mailing Address - Fax:
Practice Address - Street 1:561 S OREM BLVD STE L2
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-3105
Practice Address - Country:US
Practice Address - Phone:833-829-1209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14031681-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist