Individual
DAVID SCOTT MELLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1307 N 102ND WAY, MESA, AZ 85207-4553
(602) 980-7090
Mailing address
1307 N 102ND WAY, MESA, AZ 85207-4553
(602) 980-7090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8034
AZ
Other
Enumeration date
06/12/2012
Last updated
12/12/2021
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