Provider Demographics
NPI:1992084032
Name:STAMPS, MELISSA ANN (DPT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:STAMPS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:ELPERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5356 WILDER WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-2212
Mailing Address - Country:US
Mailing Address - Phone:812-480-1980
Mailing Address - Fax:
Practice Address - Street 1:1927 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5110
Practice Address - Country:US
Practice Address - Phone:812-250-9828
Practice Address - Fax:812-250-9829
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010545A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist