Brady Calvin Mellinger, PT, DPT, LAT, ATC
Specialist/Technologist, Athletic Trainer in Annapolis, MD. Individual provider (NPI-1).
NPI number1982165502
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1982165502
- Entity type
- Individual (NPI-1)
- Name
- Brady Calvin Mellinger
- Credential
- PT, DPT, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A0001627 | MD | Yes |
| 225100000X | Physical Therapist | 28990 | MD | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT007587 | PA |
Practice location
566 Brownson RdAnnapolis, MD 21402-5006
Phone 410-293-8726
Mailing address
566 Brownson RdAnnapolis, MD 21402-5006
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