Individual
MELISSA SUE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 1ST AVE NW, PRESTON, IA 52069-9512
(563) 343-0183
Mailing address
105 1ST AVE NW, PRESTON, IA 52069-9512
(563) 689-4912
(563) 275-6007
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
03240
IA
225100000X
Physical Therapist
Primary
03240
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31600
BLUE CROSS OF IOWA
IA
Enumeration date
07/17/2007
Last updated
07/29/2025
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