Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Melissa Ann Dallas, PTA

Individual provider Physical Therapy Assistant · NPI 1821167057

Mrs. Melissa Ann Dallas, PTA is a Physical Therapy Assistant in Manitowoc, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2021 S Alverno Rd
Manitowoc, WI 54220-9208
Phone: (920) 683-4592
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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 537-019 (WI)

Record details

NPI number1821167057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESMarch 6, 2013

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