Individual provider · Type 1 NPI

Melissa Tice, A.T.C., L.A.T.

Student in an Organized Health Care Education/Training Program · Lewisville, TX

NPI number 1700235124 Active

Practice location

1098 W Main St
Lewisville, TX 75067-3518

Call (469) 446-0381 Map

Mailing address

401 N Old Orchard Ln, Apt 231
Lewisville, TX 75067-3649

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XAT5006 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700235124

Melissa Tice, A.T.C., L.A.T.'s National Provider Identifier is 1700235124, issued on Jun 7, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lewisville, TX. The record was last updated on Jun 7, 2016.