Individual
MELISSA MARIE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
855 W COLLEGE ST STE F, MURFREESBORO, TN 37129-2762
(615) 652-1083
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6100
PROFESSIONAL OCCUPATIONAL THERAPY LICENSE
TN
Enumeration date
03/01/2023
Last updated
03/01/2023
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