Individual provider · Type 1 NPI
Melissa Deckard
Specialist · Pine River, MN
NPI number
1679753263
Active
Practice location
530 2nd St SW
Pine River, MN 56474-4019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OTT200024 (LA) |
| Specialist | 174400000X | OT1872 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1679753263
Melissa Deckard's National Provider Identifier is 1679753263, issued on Nov 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pine River, MN. The record was last updated on Nov 12, 2007.