Individual
MRS. MELISSA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 E 13TH ST, BAYARD, NE 69334-8051
(308) 586-1142
Mailing address
PO BOX A, BAYARD, NE 69334-0675
(308) 586-1142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1041
NE
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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