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Katrina Rose Melvin, PTA

Physical Therapy Assistant in Waterford, MI. Individual provider (NPI-1).

NPI number1225925951
StatusActive
Last updated in NPPESJun 24, 2025

Details

NPI
1225925951
Entity type
Individual (NPI-1)
Name
Katrina Rose Melvin
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2025
Certification date
Jun 24, 2025
Last updated
Jun 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant–MIYes

Practice location

3901 Highland Rd
Waterford, MI 48328-2162

Phone 248-682-3933

Mailing address

30766 Tamarack St Apt 37310
Wixom, MI 48393-2738

Phone 734-845-2776

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