Individual
BRENT MELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4940 W. 137TH ST., LEAWOOD, KS 66224-6622
(913) 232-9846
(913) 232-9817
Mailing address
12112 W KELLOGG ST, WICHITA, KS 67235-1100
(316) 440-1100
(316) 440-1089
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-03653
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03653
PT LICENSE
KS
05
—
200429520B
—
KS
Enumeration date
11/06/2006
Last updated
07/21/2022
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