Individual
MELISSA K KOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC
Contact information
Practice address
118 COLLEGE DRIVE #5122, HATTIESBURG, MS 39406-2701
(919) 807-9077
Mailing address
739 E FORDHAM DR, TEMPE, AZ 85283-1913
(919) 807-9077
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
2255A2300X
Athletic Trainer
AT-0945
MS
Other
Enumeration date
09/15/2013
Last updated
11/17/2021
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