Individual
MELISSA SMITHHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2222 S FRONTAGE RD, SUITE D, VICKSBURG, MS 39180-5271
(601) 456-0159
Mailing address
5 BIEDENHARN DR, VICKSBURG, MS 39183-8505
(601) 415-0892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4270
MS
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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