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NPI Code Detail

MEDICARE: JAMI MELTON

MEDICARE: JAMI MELTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant001534IA

General Provider Information

NPI Number : 1861857203
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI MELTON
Provider Business Mailing Address
First Line : 6120 MORNINGSIDE AVE
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-3943
Country : US
Telephone Number : 712-276-3000
Fax Number :
Provider Business Practice Location Address
First Line : 6120 MORNINGSIDE AVE
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-3943
Country : US
Telephone Number : 712-276-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 12/30/2015

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Directions to “ JAMI MELTON ” Practice Location

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