Individual
MRS. MELISSA HARDISON PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3065 ROUNDABOUT LN, OOLTEWAH, TN 37363-6977
(423) 314-8504
Mailing address
3065 ROUNDABOUT LN, OOLTEWAH, TN 37363-6977
(423) 892-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000002655
TN
Other
Enumeration date
03/26/2007
Last updated
07/21/2020
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