Melissa Bennett, PTA

Individual provider Active NPI Physical Therapy Assistant · Merriam, KS

NPI 1982079950 · NPPES record last updated Dec 2, 2015

Key facts

NPI
1982079950
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-02730 (KS)
Practice address
10000 W 75TH St
Suite 250
Merriam, KS 66204-2209
Phone
(888) 913-1910
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14-02730KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02730 KS Yes

Addresses

Primary practice location

10000 W 75TH St
Suite 250
Merriam, KS 66204-2209

Mailing address

10000 W 75TH St
Suite 250
Merriam, KS 66204-2209
Phone (888) 913-1910

Other names

  • Melissa Higgins Former name

Other providers in Merriam, KS

All providers in Merriam, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.