Most Relevant Information
Provider Data
| NPI Number: | 1003242231 |
| Provider Name: | MELISSA SMITHHART LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA4270 |
Most Important Dates
| Enumeration Date: | 09/19/2013 |
| Last Updated: | 09/19/2013 |
Provider Practice Location
2222 S FRONTAGE RD
SUITE D
VICKSBURG
MS
391805271
Practice Location Phone/Fax
| Phone: | 6014560159 |
| Fax: |
Provider Mailing Location
5 BIEDENHARN DR
VICKSBURG
MS
391838505
Provider Mailing Phone/Fax
| Phone: | 6014150892 |
| Fax: |