Individual
MELISSA ANGELA METIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
.9975
SC
Other
Enumeration date
11/13/2019
Last updated
08/08/2023
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