Provider Demographics
NPI:1699152967
Name:RAY, MELISSA
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:RAY
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 1:8500 W CRESTLINE AVE
Mailing Address - Street 2:G-5
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-0755
Mailing Address - Country:US
Mailing Address - Phone:303-971-0500
Mailing Address - Fax:303-932-7076
Practice Address - Street 1:8500 W CRESTLINE AVE
Practice Address - Street 2:G-5
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-0755
Practice Address - Country:US
Practice Address - Phone:303-971-0500
Practice Address - Fax:303-932-7076
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTLP.0000006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist