Individual
MELISSA A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 E 3RD AVE, CROSSET, AR 71635
(870) 364-2990
(870) 364-3104
Mailing address
101 E 3RD AVE, CROSSET, AR 71635
(870) 364-2990
(870) 364-3104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8770
LA
225200000X
Physical Therapy Assistant
CP043643A
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278864795
—
AR
Enumeration date
05/30/2025
Last updated
05/30/2025
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