MELISSA ETTEN (NPI# 1194735043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194735043 |
| Entity Type | Individual |
| Full Name | MELISSA ETTEN |
| Credential | DPT |
| Practice Address |
1601 Nw 114th St Ste 155 Clive IA 50325-7046 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5152227350 |
| Practice Fax Number | 5152227355 |
| Mailing Telephone | 5152227350 |
| Mailing Fax Number | 5152227355 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
03948 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4003 Nw Urbandale Dr, Des Moines, IA 503227914 | 5156439250 | 5156439249 |
| Street Address |
1601 NW 114TH ST STE 155 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973822 | Julia Wiener | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2019-10-15 |
| 1629554191 | Erica Nease | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2018-07-17 |
| 1679926190 | Staci Larsen | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2016-07-20 |
| 1902259682 | Samantha Jungman | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325 | 2016-07-19 |
| 1316328032 | Mary Maassen | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2015-06-18 |
| 1568732576 | Brenda Ann Greenwell | Physical Therapist | 1601 Nw 114th St Ste 155, Clive, IA 50325-7046 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073219 | Kelsey Castek | Physical Therapist | 905 29th Ave Ste 140, Marion, IA 52302-1138 | 2020-11-02 |
| 1841856762 | Kaizen Health and Wellness Pllc | Physical Therapist | 3502 Nw 17th St, Ankeny, IA 50023-1054 | 2019-05-16 |
| 1356709224 | Melony Gerber | Physical Therapist | 234 West St S Unit 4, Grinnell, IA 50112-8160 | 2016-02-05 |
| 1689822488 | The Physical Therapy Center, PC | Physical Therapist | 1747 E. 54th St., Davenport, IA 52807-2769 | 2008-09-04 |
| 1447434659 | Thomas Physical Therapy Professionals LLC | Physical Therapist | 20 W 6th St # 101, Spencer, IA 51301-3901 | 2007-12-24 |
| 1679793251 | Pamela Ann Duffy | Physical Therapist | 2833 J Ave, Adel, IA 50003-8260 | 2007-04-26 |
| 1023114576 | Steven Donald Clark | Physical Therapist | 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | 2006-09-15 |
| 1861597478 | Todd David Neighbor | Physical Therapist | 740 N 15th Ave, Hiawatha, IA 52233-2384 | 2006-09-14 |
| 1609971225 | Amber Lynn Dostal | Physical Therapist | 4700 Tama St Se, Suite 700, Cedar Rapids, IA 52403-4556 | 2006-09-14 |
| 1558466185 | Ashlee Erin Fandel | Physical Therapist | 400 Collins Rd Ne, Cedar Rapids, IA 52498-0505 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.