Individual
MICHAELA BETH MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 S MILLENIUM WAY STE 210, MERIDIAN, ID 83642-6457
(208) 884-4647
Mailing address
1673 W SHORELINE DR STE 230, BOISE, ID 83702-6752
(208) 939-9594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
04/22/2025
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