Individual
MELISSA RAE EHLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
(907) 374-4934
Mailing address
920 8TH AVE # B, FAIRBANKS, AK 99701-4369
(253) 548-6158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2396
AK
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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