Individual
KARI J MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1655 N GRANDVIEW LN STE 204, BISMARCK, ND 58503-0877
(170) 175-1202
Mailing address
1655 N GRANDVIEW LN STE 204, BISMARCK, ND 58503-0877
(170) 175-1202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070013264
IL
225100000X
Physical Therapist
Primary
2265
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00931550
MEDICARE RAILROAD
IL
Enumeration date
10/02/2006
Last updated
12/23/2020
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