Provider Demographics
NPI:1972963742
Name:COATES, MELODY (PT, DPT)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:COATES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9450 BLANCO DR
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7202
Mailing Address - Country:US
Mailing Address - Phone:817-455-2600
Mailing Address - Fax:
Practice Address - Street 1:9450 BLANCO DRIVE
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226
Practice Address - Country:US
Practice Address - Phone:214-466-2081
Practice Address - Fax:214-785-6913
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist