Individual
MELINDA RAE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A11629
Contact information
Practice address
20554 JUNO TRL, LAKEVILLE, MN 55044-8896
(612) 247-7184
Mailing address
20554 JUNO TRL, LAKEVILLE, MN 55044-8896
(612) 247-7184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A11629
MN
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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