MR. Jay Dee Mellette, ATC

NPI #1033173372 in Las Vegas, Nevada

Provider Information

NPI Number
1033173372
Entity Type
Individual
Name
MR. Jay Dee Mellette, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
980 KELLY JOHNSON DR
State
Nevada
ZIP Code
89119-3785
Phone
(702) 352-0200

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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