Individual
MELISSA A MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-2663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004170
IA
225100000X
Physical Therapist
070-016452
IL
225100000X
Physical Therapist
Primary
1445
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004170
IOWA PT LICENSE NUMBER
IA
01
—
070-016452
ILLINOIS PT LICENSE NO
IL
Enumeration date
01/30/2008
Last updated
01/06/2026
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