Individual
MELISSA DHEA ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(270) 826-6436
Mailing address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(270) 826-6436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02266
KY
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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