Doctor Name: | RICKY MATTHEW MELTON |
NPI Number: | 1275933996 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., DPT |
License Number: | 3925 |
Business Practice Address: | 1101 S Horsebarn Rd Rogers, AR - 727588237 |
Business Phone Number: | 4792714170 |
Business Fax Number: | |
Mailing Address: | 1230 S Sherman Ave, FAYETTEVILLE |
State: | AR |
Postal Code: | 727017057 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |