Most Relevant Information
Provider Data
| NPI Number: | 1003544743 |
| Provider Name: | MELISSA KAY MICHAELS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA009079 |
Most Important Dates
| Enumeration Date: | 08/10/2022 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
11230 STATE ROUTE 364
SAINT MARYS
OH
458859534
Practice Location Phone/Fax
| Phone: | 4193268555 |
| Fax: |
Provider Mailing Location
1817 WENDELL AVE
LIMA
OH
458053160
Provider Mailing Phone/Fax
| Phone: | 4193713926 |
| Fax: |