Individual
MRS. IVEY MELISSA HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
(316) 733-0919
Mailing address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
(316) 733-0919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105117
KS
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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