Individual
MELISSA JOAN AHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
350 PINE HILL DR SW, MC DONALD, TN 37353-5622
(423) 991-9500
Mailing address
350 PINE HILL DR SW, MC DONALD, TN 37353-5622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST - GROUP NUMBER
TN
05
—
5441444
—
TN
Enumeration date
05/26/2006
Last updated
10/30/2014
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