Provider Demographics
NPI:1912914557
Name:MELNIK, RITA (DC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:MELNIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5108
Mailing Address - Country:US
Mailing Address - Phone:952-856-8596
Mailing Address - Fax:952-856-8591
Practice Address - Street 1:5806 W 36TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-5108
Practice Address - Country:US
Practice Address - Phone:952-856-8596
Practice Address - Fax:952-856-8591
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor