Provider Demographics
NPI:1861227084
Name:BROWN HOYLE, MELODY RUTH (LMBT)
Entity type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:RUTH
Last Name:BROWN HOYLE
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:MRS
Other - First Name:MELODY
Other - Middle Name:RUTH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMBT
Mailing Address - Street 1:280 RICHARD BYERLY ROAD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262
Mailing Address - Country:US
Mailing Address - Phone:336-250-2460
Mailing Address - Fax:
Practice Address - Street 1:278 RICHARD BYERLY ROAD
Practice Address - Street 2:280 RICHARD BYERLY ROAD
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262
Practice Address - Country:US
Practice Address - Phone:336-250-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7039225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist