Individual
MELISSA KAY MEYERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(618) 242-6337
Mailing address
204 CHARLES ST, BENTON, IL 62812-1116
(618) 218-5401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
IL
Enumeration date
02/21/2006
Last updated
07/08/2007
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