Doctor Name: | MELISSA JEAN DYSHAW |
NPI Number: | 1629360391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 11659024 |
Business Practice Address: | 1127 W 8th St New Richmond, WI - 540171467 |
Business Phone Number: | 1715246685 |
Business Fax Number: | 1715246763 |
Mailing Address: | 13770 44th St N, STILLWATER |
State: | MN |
Postal Code: | 550821262 |
Phone Number: | 6518955364 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2011 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11659024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |