Provider Demographics
NPI:1932968047
Name:KNAPP, MELINDA ANNE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANNE
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MRS
Other - First Name:MELINDA
Other - Middle Name:ANNE
Other - Last Name:KNAPP-GIESLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:3670 COUNTY ROAD 6
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-9138
Mailing Address - Country:US
Mailing Address - Phone:315-521-6596
Mailing Address - Fax:
Practice Address - Street 1:3670 COUNTY ROUTE 6
Practice Address - Street 2:
Practice Address - City:GENVA
Practice Address - State:NY
Practice Address - Zip Code:14456
Practice Address - Country:US
Practice Address - Phone:315-789-4162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011063225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist