Individual
MS. MELISSA ANN THEETGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
2260 FLAT RIVER RD, BOX #9, COVENTRY, RI 02816-8959
(401) 385-9485
(401) 385-9485
Mailing address
2260 FLAT RIVER RD, BOX #9, COVENTRY, RI 02816-8959
(401) 385-9485
(401) 385-9485
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT00601
RI
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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