Female

Melissa A. Dennis ATC, PTA

Athletic Trainer in Circleville, OH(View on Map)

Full Name

Melissa Anne Dennis ATC, PTA

NPI Number

1033517701

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/12/2014

Specialties

(Taxonomies)

Code

2255A2300X
225200000X

Primary Taxonomy

Yes
No

Licenses

State

Ohio
Ohio

License Number

003547
09319

Contact
Information

Purpose

Mailing
Location

Address

40 HAWTHORNE DR
600 N PICKAWAY ST

City

Ashville
Circleville

State

OH
OH

Postal Code

43103-9374
43113-1447

Country

US
US

Telephone Number

(740) 497-8373
(740) 420-8243

Identifiers

Identifier

PTA.09319

Identifier State

OH

Identifier Issuer

PHYSICAL THERAPY ASSISTANT

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/12/2014

Provider Address

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