| 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 | |
Children's Specialty Clinic Of San Luis Valley Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Rupert St, Monte Vista, CO 81144 Phone: 719-852-3742 |