Most Relevant Information
Provider Data
| NPI Number: | 1003197922 |
| Provider Name: | MELISSA HARDIN CROCKETT LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA1363 |
Most Important Dates
| Enumeration Date: | 09/06/2011 |
| Last Updated: | 09/06/2011 |
Provider Practice Location
115 PARK RIDGE RD
SALTILLO
MS
388669390
Practice Location Phone/Fax
| Phone: | 6626872886 |
| Fax: |
Provider Mailing Location
115 PARK RIDGE RD
SALTILLO
MS
388669390
Provider Mailing Phone/Fax
| Phone: | 6626872886 |
| Fax: |