Individual
MELISSA ANN MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3943
(712) 276-3000
Mailing address
1500 O AVE, JACKSON, NE 68743-3072
(712) 898-8391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01135
IA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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