DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER EMERSON MELLECKER, PTA

Active Sole Proprietor

TYLER EMERSON MELLECKER, PTA is a Occupational Therapist healthcare provider located in ESTERO, Florida. NPI 1760280481 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ESTERO, FL

Registration Details

NPI Number
1760280481
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2025 (1.4841276376906 yrs)
Last Updated
Mar 6, 2025
Licenses
27302 (FL)
27302 (FL)
Sole Proprietor
Yes

Practice Information

Address
20973 CORKSCREW SHORES BLVD
ESTERO, FL, 339289146
Browse FL providers · Browse ZIP 33928
Phone
6306870574
Fax
2393203231
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in ESTERO, FL

Name Credential NPI
PAMELA ISABEL TAN PTA, LMT 1265038780
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.