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

MR. CID ANTHONY MELOCOTON, PT

Active Sole Proprietor

MR. CID ANTHONY MELOCOTON, PT is a Physical Therapy Assistant healthcare provider located in SPRINGFIELD, Illinois. NPI 1154073559 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SPRINGFIELD, IL

Registration Details

NPI Number
1154073559
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2022 (4.5623300625218 yrs)
Last Updated
Jan 26, 2022
License
070008391 (IL)
Sole Proprietor
Yes

Practice Information

Address
2625 KIPLING DR
SPRINGFIELD, IL, 627116232
Browse IL providers · Browse ZIP 62711
Phone
2178991658
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SPRINGFIELD, IL

Name Credential NPI
DARREN P WARD PT 1982665063
DAVID M SCHNELLER PT 1932160009
MR. RYAN LEE SCHALLENBERG PT, ATC 1962463653
KIRSTEN TRANSUE LPT 1295793115
MRS. KELLI A. BRYANT MPT 1912952649
MR. MARK LEROY GERBERDING PT 1831134808
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.