Provider Demographics
NPI:1427334986
Name:HENSLER, MELISSA E (ATC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:E
Last Name:HENSLER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:E
Other - Last Name:VENTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATC
Mailing Address - Street 1:1344 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-2455
Mailing Address - Country:US
Mailing Address - Phone:443-553-7069
Mailing Address - Fax:
Practice Address - Street 1:1344 BARBARA DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-2455
Practice Address - Country:US
Practice Address - Phone:443-553-7069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0044382255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer