Individual
MELISSA RENEE AVITIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
951 W COLLEGE ST, TROY, MO 63379-1112
(636) 462-6098
Mailing address
951 W COLLEGE ST, TROY, MO 63379-1112
(636) 462-6098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02054
KS
225200000X
Physical Therapy Assistant
2009036117
MO
Other
Enumeration date
05/03/2007
Last updated
10/14/2025
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