Provider Demographics
NPI:1619781325
Name:HOOPER, MELODY ANNE (LMT)
Entity type:Individual
Prefix:MS
First Name:MELODY
Middle Name:ANNE
Last Name:HOOPER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 ROCKY RIVER DR STE 6
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4044
Mailing Address - Country:US
Mailing Address - Phone:216-671-7607
Mailing Address - Fax:216-671-7608
Practice Address - Street 1:3730 ROCKY RIVER DR STE 6
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-4044
Practice Address - Country:US
Practice Address - Phone:216-671-7607
Practice Address - Fax:216-671-7608
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.026667225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty