Melissa Ann Dallas in Manitowoc - Physical Therapy Assistant
Melissa Ann Dallas - NPI 1821167057
Melissa Ann Dallas is a Physical Therapy Assistant in Manitowoc, Wisconsin. Melissa Ann Dallas practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Melissa Ann Dallas is 1821167057. The last update date is 2013-03-06.
Melissa Ann Dallas's current location address is 2021 S Alverno Rd, Manitowoc, Wisconsin. You can contact this provider via phone number 9206834592. The mailing address for Melissa Ann Dallas is 2021 S Alverno Rd, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Ann Dallas |
|---|---|
| Address | 2021 S Alverno Rd, Manitowoc, Wisconsin |
| Phone Number | 9206834592 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1821167057 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2013-03-06 |
Provider Mailing Address Detail
| Address | 2021 S Alverno Rd |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542209208 |
| Phone Number | 9206834592 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 537-019 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40380400 | WI | -- |
Post Comment/ Review Below
What is the Melissa Ann Dallas's 1821167057?
The Melissa Ann Dallas's NPI (National Provider Identifier) Number is 1821167057. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Melissa Ann Dallas's facilities are geographically located?
The facilities of Melissa Ann Dallas are physically situated at the following location: 2021 S Alverno Rd, Manitowoc, WI, 542209208.
What is Melissa Ann Dallas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Melissa Ann Dallas is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821167057 to Melissa Ann Dallas?
The Melissa Ann Dallas received its 1821167057 assignment from the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the Melissa Ann Dallas's information last updated?
The Melissa Ann Dallas's information was last updated on 2013-03-06.