Melissa Jack, DAT, LAT, ATC
Athletic Trainer · Webster, TX
NPI number
1952642639
Practice location
15826 Roxton Ridge DrWebster, TX 77598-2544
- Phone
- (484) 515-5728
NPI record
- NPI
- 1952642639
- Entity type
- Individual (Type 1)
- Enumeration date
- March 6, 2013
- Last updated
- July 30, 2020
- Certified
- July 30, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
Other practice locations (1)
- 1420 New Bellevue Ave, Apt 1603, Daytona Beach, FL 32114-5665 · (484) 515-5728
About Melissa Jack
Melissa Jack, DAT, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 15826 Roxton Ridge Dr, Webster, TX 77598-2544. The NPI number 1952642639 was assigned on March 6, 2013 and the record was last updated on July 30, 2020.
Frequently asked questions
What is the NPI number of Melissa Jack, DAT, LAT, ATC?
The NPI number is 1952642639.
What is the phone number of Melissa Jack?
The phone number listed for the practice location is (484) 515-5728.
Where is Melissa Jack located?
15826 Roxton Ridge Dr, Webster, TX 77598-2544.
What is the taxonomy code for Melissa Jack?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Webster
- Leslie M. Humphrey413 Via Regatta St