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NPI Code Detail

MEDICARE: MELITA SETSER PTA

MEDICARE: MELITA SETSER PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA1451AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437370053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELITA SETSER PTA
Provider Business Mailing Address
First Line : PO BOX 130
Second Line :
City : ROGERS
State : AR
Zip : 72757-0130
Country : US
Telephone Number : 479-986-5150
Fax Number : 479-986-5191
Provider Business Practice Location Address
First Line : 3307 N DIXIELAND RD
Second Line :
City : ROGERS
State : AR
Zip : 72756-6816
Country : US
Telephone Number : 479-986-5150
Fax Number : 479-986-5191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 02/16/2023

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Directions to “ MELITA SETSER PTA” Practice Location

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