Individual
MELANIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
383 CORBIN CENTER DRIVE, CORBIN, KY 40701
(606) 526-2919
Mailing address
332 EZRA WALLS RD, LIBERTY, KY 42539-7842
(606) 526-2919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002434
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87024345
—
KY
Enumeration date
03/07/2007
Last updated
07/08/2007
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