Individual
MELANIE BRITT MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
10421 VFW RD, SUITE 103, EAGLE RIVER, AK 99577-8032
(907) 350-3657
Mailing address
20201 NEW ENGLAND DR, EAGLE RIVER, AK 99577-7116
(907) 622-1975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1653
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK 1653
STATE LICENSE #
AK
Enumeration date
02/09/2007
Last updated
07/08/2007
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