Justin Derek Mellott
Justin Derek Mellott is a Physical Therapy Assistant in Berkeley Springs, West Virginia. Licensed in West Virginia. Registered with an NPI since 2021.
- Licensed in
- WV
- In the registry since
- 2021
Practice location Address checks out
23 Fitness LnBerkeley Springs, WV 25411-7080
Phone: (304) 258-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PT002131 (WV) |
|---|
Record details
| NPI number | 1972261139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 6, 2021 |
| Last updated in NPPES | December 6, 2021 |
| Certification date | December 6, 2021 |
| Mailing address | 13808 Jenny Ln Ne, Little Orleans, MD 21766-1034 |
Other providers in Berkeley Springs
-
Savanna Nesselrod, PTA
23 Fitness Ln, Berkeley Springs, WV 25411-7080 · (304) 258-1300