Individual
MRS. MELISSA BROOKS SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1402 C B KING RD, MC GEHEE, AR 71654-9403
(870) 222-6211
Mailing address
PO BOX 412, 2196 ASHLEY 69 ROAD HAMBURG, PORTLAND, AR 71663-0412
(870) 866-1029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2056
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165418721
—
AR
Enumeration date
07/22/2008
Last updated
03/01/2012
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