Provider Demographics
NPI:1174544043
Name:HARKNESS, MELISSA ANN (PT RN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANN
Last Name:HARKNESS
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Gender:F
Credentials:PT RN
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Mailing Address - Street 1:1255 VISCAYA PKWY #1
Mailing Address - Street 2:STE 102
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990
Mailing Address - Country:US
Mailing Address - Phone:239-242-0070
Mailing Address - Fax:239-242-0076
Practice Address - Street 1:1255 VISCAYA PKWY #1
Practice Address - Street 2:STE 102
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990
Practice Address - Country:US
Practice Address - Phone:239-242-0070
Practice Address - Fax:239-242-0076
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLRN9179336163W00000X
FLPT19790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist