Individual
MELLISSA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4801 TROUP HWY, STE 800, TYLER, TX 75703-2356
(903) 939-2800
(903) 581-7057
Mailing address
4801 TROUP HWY, STE 800, TYLER, TX 75703-2356
(903) 939-2800
(903) 581-7057
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2043958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
09/16/2010
Last updated
09/16/2010
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