Provider Demographics
NPI:1992920813
Name:ULRIGG, MELISSA ANN EUNICE (ATC)
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:ANN EUNICE
Last Name:ULRIGG
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 SILVER LN SW
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98367-8711
Mailing Address - Country:US
Mailing Address - Phone:360-440-7212
Mailing Address - Fax:
Practice Address - Street 1:11111 SILVER LN SW
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98367-8711
Practice Address - Country:US
Practice Address - Phone:360-440-7212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer