Individual
MISS JESSICA MEHSIKOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5830 CORAL RIDGE DR STE 300, CORAL SPRINGS, FL 33076-3388
(954) 752-6974
Mailing address
8789 W EASTMAN DR, LAKEWOOD, CO 80227-4721
(913) 909-5586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1341
NM
225200000X
Physical Therapy Assistant
PTA0013427
CO
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/29/2012
Last updated
12/29/2016
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