Melissa Carruth

Physical Therapy Assistant in Bay Springs, MS. Individual provider (NPI-1).

NPI number1669906244

StatusActive

Last updated in NPPESApr 20, 2017

Details

NPI: 1669906244
Entity type: Individual (NPI-1)
Name: Melissa Carruth
Sex: Female
Sole proprietor: Yes
Enumeration date: Apr 20, 2017
Last updated: Apr 20, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225200000X	Physical Therapy Assistant	5778	MS	Yes

Practice location

15 A South 6th Street
Bay Springs, MS 39422

Phone 601-764-2101

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Phone 601-276-3900

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