IndividualActive
Melanie Canna, OTR/L
NPI 1972232288 · Neurorehabilitation Occupational Therapist · Jackson, WY
Provider details
- NPI number
- 1972232288
- Entity type
- Individual
- Primary specialty
- Neurorehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-1631 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 733-3636
Approximate (ZIP-level) locationGet directions
Mailing address
4935 S 1750 E
Victor, ID 83455-4304
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.