# MELANIE MASSEY PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104922475
- **Authorized official:** DONNA SHIREY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (318) 504-4316

## Contact information

- **Practice address:** 3177 STERLINGTON RD, MONROE, LA 71203-2517
- **Practice address phone:** (318) 388-1989
- **Mailing address:** PO BOX 1377, WEST MONROE, LA 71294
- **Mailing address phone:** (318) 396-1969
- **Mailing address fax:** (318) 396-1970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 03/11/2025