Melissa L Blackmon, OT
Individual provider Active NPI Occupational Therapist · Selma, AL
NPI 1356569701 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356569701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1846 (AL)
- Practice address
- 108 Executive Park LN
Selma, AL 36701-7734 - Phone
- (334) 875-2550
- Fax
- (334) 875-3654
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1846 | AL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1846 | AL | Yes |
Addresses
Primary practice location
108 Executive Park LN
Selma, AL 36701-7734
Mailing address
113 Calvin Cir
Valley Grande, AL 36703-8801
Phone (334) 875-2550
Other providers in Selma, AL
- Bio-Medical Applications of Alabama, Inc.
- Bio-Medical Applications of Alabama, Inc.
- Bio-Medical Applications of Alabama, Inc.
- Black Belt Medical Inc.
- John C. Blackenburg
- Donald W Blanton
- Garrett Blanton
- Blue Ridge Healthcare Selma LLC
- Sean Brian Bohannon
- Caleb Bonner
All providers in Selma, AL · Occupational Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.