Provider Demographics
NPI:1386251767
Name:VOLK, MELANIE YOUNG
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:YOUNG
Last Name:VOLK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 COTTAGE LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-4488
Mailing Address - Country:US
Mailing Address - Phone:802-989-6630
Mailing Address - Fax:
Practice Address - Street 1:75 MEIGS RD
Practice Address - Street 2:
Practice Address - City:VERGENNES
Practice Address - State:VT
Practice Address - Zip Code:05491-8905
Practice Address - Country:US
Practice Address - Phone:802-877-6991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic