Individual
MRS. MELINDA KAROLE SMITH-MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
127 WALNUT, GREEVILLE R-II, GREENVILLE, MO 63944-0320
(573) 224-3916
(573) 224-3412
Mailing address
PO BOX 320, GREENVILLE, MO 63944-0320
(573) 224-3916
(573) 224-3412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1080
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484830146
—
MO
Enumeration date
02/23/2007
Last updated
02/19/2009
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