Johnson, Melissa L
Johnson, Melissa L is an individual health care provider with primary practice located at 10560 Old Olive Street Rd , Creve Coeur MO 63141-5916. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Melissa L can be contacted via phone (314) 567-4707.Contact Information
Primary practice address
10560 Old Olive Street Rd
Creve Coeur MO 63141-5916
Phone: (314) 567-4707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2005040573 | Missouri |
Profile Details
| NPI number | 1346387537 |
|---|---|
| LBN Legal business name | Johnson, Melissa L |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346387537 | NPPES |
| Missouri | Other | 1114090792 | GROUP NPI |
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