Individual
MRS. MELISSA LAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
544 LONE OAK RD, PADUCAH, KY 42003-4538
(270) 443-6543
Mailing address
2726 MONROE ST, PADUCAH, KY 42001-3176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AO1931
KY
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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