Individual
MELINDA GAYLE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 236-2480
(417) 236-2481
Mailing address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 236-2480
(417) 236-2481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2003025134
MO
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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