Individual
MS. MELISSA SUE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
218 E PACK ST, MOUNDRIDGE, KS 67107-8815
(620) 345-6391
Mailing address
301 ROLLING HILLS DR, NEWTON, KS 67114-4012
(316) 516-1140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402230
KS
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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