Individual
MELISSA ADDIE WIEAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9 COLONIAL WAY, INDIAN HARBOUR BEACH, FL 32937-4305
(321) 266-2115
Mailing address
9 COLONIAL WAY, INDIAN HARBOUR BEACH, FL 32937-4305
(321) 266-2115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3097-39
WI
2255A2300X
Athletic Trainer
Primary
AL6047
FL
Other
Enumeration date
10/23/2018
Last updated
06/10/2025
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