Individual
MELANI MACARAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N MAIN ST, #1, MOUNTAIN GROVE, MO 65711-1025
(417) 926-5699
Mailing address
828 N UTAH ST, WEST PLAINS, MO 65775-2084
(708) 228-6719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.020677
IL
225100000X
Physical Therapist
Primary
2016026054
MO
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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