Ryan Jake Mellott, PT | |
95 1st Ave, Monte Vista, CO 81144-1069 | |
(719) 852-2512 | |
(719) 852-3923 |
Full Name | Ryan Jake Mellott |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 95 1st Ave, Monte Vista, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245220011 | NPI | - | NPPES |
84070694565 | Other | CO | ROCKY MOUNTAIN HEALTH PAN |
ME654882 | Other | CO | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6891 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ryan Jake Mellott, PT 95 1st Ave, Monte Vista, CO 81144-1070 Ph: (719) 852-2512 | Ryan Jake Mellott, PT 95 1st Ave, Monte Vista, CO 81144-1069 Ph: (719) 852-2512 |
Riley Theiss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 2nd Ave, Monte Vista, CO 81144 Phone: 719-852-7081 | |
Dr. Daniel Lee Malouff Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 95 West First Street, Monte Vista, CO 81144 Phone: 719-852-7081 Fax: 719-587-1543 |