Ryan Jake Mellott, PT Valid NPI

Individual provider · Physical Therapist · Monte Vista, CO

NPI

1245220011

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

6891 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-24

Last updated

2007-07-08