Individual
MELISSA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
610 E BRANNON RD STE 200, NICHOLASVILLE, KY 40356-6046
(859) 260-5555
(859) 260-5556
Mailing address
PO BOX 734839, CHICAGO, IL 60673-4839
(502) 253-4900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004373
KY
Other
Enumeration date
06/27/2019
Last updated
12/01/2020
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