Individual
MELISSA JEAN DYSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1127 W 8TH ST, NEW RICHMOND, WI 54017-1467
(171) 524-6685
(171) 524-6763
Mailing address
13770 44TH ST N, STILLWATER, MN 55082-1262
(651) 895-5364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11659024
WI
Other
Enumeration date
05/12/2011
Last updated
12/04/2013
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