IndividualActive
Charlie Mellick, PTA
NPI 1538052527 · Physical Therapy Assistant · Houlton, ME
Provider details
- NPI number
- 1538052527
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PA6970 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
98 Bangor St Ste a
Houlton, ME 04730-1603
Phone: (207) 521-0200
Fax: (207) 521-0210
Approximate (ZIP-level) locationGet directions
Mailing address
98 Bangor St Ste a
Houlton, ME 04730-1603
Registry dates
- Enumerated
- 2025-05-30
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.