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

RYAN JAKE MELLOTT, PT

Active

RYAN JAKE MELLOTT, PT is a Physical Therapy Assistant healthcare provider located in MONTE VISTA, Colorado. NPI 1245220011 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MONTE VISTA, CO

Registration Details

NPI Number
1245220011
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2005 (20.819718312051 yrs)
Last Updated
Jul 8, 2007
License
6891 (CO)

Practice Information

Address
95 1ST AVE
MONTE VISTA, CO, 811441069
Browse CO providers · Browse ZIP 81144
Phone
7198522512
Fax
7198523923
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MONTE VISTA, CO

Name Credential NPI
DR. DANIEL LEE MALOUFF JR. PT 1558522359
RILEY THEISS DPT 1386280402
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.