Individual
MELESA RENEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
716 POPLAR ST, MURRAY, KY 42071-2546
(270) 762-1854
(270) 762-1856
Mailing address
PO BOX 3203, PADUCAH, KY 42002-3203
(270) 575-0482
(279) 762-1856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00876
KY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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