Ryan Jake Mellott, PT
NPI #1245220011 in Monte Vista, Colorado
Provider Information
- NPI Number
- 1245220011
- Entity Type
- Individual
- Name
- Ryan Jake Mellott, PT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Oct 24, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 95 1ST AVE
- City
- Monte Vista
- State
- Colorado
- ZIP Code
- 81144-1069
- Phone
- (719) 852-2512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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