Provider Demographics
NPI:1427309426
Name:NEFF, MELISSA (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:NEFF
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 CLIFTON CT
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-3268
Mailing Address - Country:US
Mailing Address - Phone:307-235-4857
Mailing Address - Fax:
Practice Address - Street 1:2546 E 2ND ST STE 500
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-2063
Practice Address - Country:US
Practice Address - Phone:307-577-5204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYWY 419 OTR225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation