Melanie Bowling, PTA

Individual provider Active NPI Physical Therapy Assistant · Hyden, KY

NPI 1992198196 · NPPES record last updated Mar 12, 2015

Key facts

NPI
1992198196
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A02678 (KY)
Practice address
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone
(606) 672-2901
NPI assigned
Mar 12, 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

LicenseStateTypeSpecialty
A02678KYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A02678 KY Yes

Addresses

Primary practice location

130 Kate Ireland Dr
Hyden, KY 41749-9071

Mailing address

130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone (606) 672-2901

Other providers in Hyden, KY

All providers in Hyden, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.