Provider Demographics
NPI:1972052876
Name:TAURARII, MELANIE (ATC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:
Last Name:TAURARII
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:325 SOUTH 400 EAST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-2458
Mailing Address - Country:US
Mailing Address - Phone:801-295-3553
Mailing Address - Fax:
Practice Address - Street 1:325 SOUTH 400 EAST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-2458
Practice Address - Country:US
Practice Address - Phone:801-295-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8298211-48102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer