Provider Demographics
NPI:1922330356
Name:LAYE, MELISSA MABLE (DPT)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MABLE
Last Name:LAYE
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:130 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CAMILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31730-1809
Mailing Address - Country:US
Mailing Address - Phone:229-336-1115
Mailing Address - Fax:229-336-1151
Practice Address - Street 1:1366 US HIGHWAY 82 W
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-5810
Practice Address - Country:US
Practice Address - Phone:229-883-4009
Practice Address - Fax:229-336-1151
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2024-09-19
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Provider Licenses
StateLicense IDTaxonomies
GA009865225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist