Melinda Dickerson, PT, DPT
Individual provider Active NPI Physical Therapist · Amory, MS
NPI 1114394095 · NPPES record last updated Aug 27, 2015
Key facts
- NPI
- 1114394095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT973 (MS)
- Practice address
- 404 Peg LN
Amory, MS 38821-1210 - Phone
- (662) 315-0084
- Fax
- (479) 709-7717
- NPI assigned
- Aug 27, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT973 | MS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT973 | MS | Yes |
Addresses
Primary practice location
404 Peg LN
Amory, MS 38821-1210
Mailing address
404 Peg LN
Amory, MS 38821-1210
Phone (662) 315-0084
Other providers in Amory, MS
- Currie'S Family Care Pharmacy of Amory, LLC
- Curries Family Care Pharmacy of Amory, LLC
- Kelly Coker Dabbs
- Robert A Dale Jr.
- Jamie Suzanne Davis
- Diversicare of Amory, LLC
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Mississippi LLC
- DVC Pharmacy LLC
- East Amory Elementary School
All providers in Amory, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.