IndividualActive
Cleveland Melancon, PT, OCS
NPI 1205927209 · Orthopedic Physical Therapist · Prairieville, LA
Provider details
- NPI number
- 1205927209
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, OCS
- Sex
- Male
- Sole proprietor
- No
- License
- 01407 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
17609 Old Jefferson Hwy
Suite G
Prairieville, LA 70769-3979
Phone: (225) 673-0200
Fax: (225) 673-0202
Approximate (ZIP-level) locationGet directions
Mailing address
17609 Old Jefferson Hwy
Prairieville, LA 70769-3979
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2008-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.