Individual
DR. TIFFANY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
385 HIGHWAY 65 N, CONWAY, AR 72032-3506
(817) 688-5865
Mailing address
615 FARRIS RD, CONWAY, AR 72034-4904
(501) 733-3112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3050
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166894721
—
AR
Enumeration date
02/12/2008
Last updated
08/01/2023
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