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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAY DEE MELLETTE, ATC

Active

MR. JAY DEE MELLETTE, ATC is a Athletic Trainer healthcare provider located in LAS VEGAS, Nevada. NPI 1033173372 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LAS VEGAS, NV

Registration Details

NPI Number
1033173372
Provider Type
Individual
Gender
Male
NPI Issued
Apr 13, 2006 (20.156920693497 yrs)
Last Updated
Jul 8, 2007
License
0506040 (NV)

Practice Information

Address
980 KELLY JOHNSON DR
LAS VEGAS, NV, 891193785
Browse NV providers · Browse ZIP 89119
Phone
7023520200
Fax
7028911707
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LAS VEGAS, NV

Name Credential NPI
MR. STEVE JOHN MCCAULEY ATC, LAT, CSCS 1831162650
MARY ANN ENCE ATC 1194793497
MR. JEREMY BRENT HAAS M.S., ATC/LAT, CSCS 1467421834
MR. ERIC WILLIAM GAHAN ATC 1942264528
MRS. CINDY LYNN DINKEL ATC 1275599334
MR. YASUO FUKUDA A.T.C. 1124086103
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.