Individual
MELISSA MARLENE SANDBULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, DPT
Contact information
Practice address
801 S GREENE ST, ROCK RAPIDS, IA 51246-1948
(712) 472-6124
(712) 472-6199
Mailing address
801 S GREENE ST, ROCK RAPIDS, IA 51246-1948
(712) 472-6124
(712) 472-6199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004396
IA
225100000X
Physical Therapist
10143
MN
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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