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General NPI Number Information
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NPI Number | 1932707510
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Entity Type | Individual
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Provider Name | MELISSA HOUGHTON PT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 5100 MARSH RD STE G
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City | OKEMOS
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State | MI
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Zip | 48864-1195
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Country | US
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Telephone | 517-220-4540
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Fax | 517-990-6212
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Provider Business Mailing Address
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Address Line | 825 MCCULLOUGH AVE APT 315
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City | ORLANDO
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State | FL
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Zip | 32803-7227
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Country | US
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Telephone | 517-282-9952
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501019774
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 55010199774
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License Number State | MI
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