Provider Demographics
NPI:1386960284
Name:VOLKERT, MELISSA CHANG (OTD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:CHANG
Last Name:VOLKERT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:TRACY
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD
Mailing Address - Street 1:360 PEAK ONE DR.
Mailing Address - Street 2:SUITE 190
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-0785
Mailing Address - Country:US
Mailing Address - Phone:970-668-6980
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DR STE 190
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5868
Practice Address - Country:US
Practice Address - Phone:970-668-6980
Practice Address - Fax:970-668-0227
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0002218225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist