| Doctor Name: | MELODEE JACKSON |
| NPI Number: | 1952757726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. , D.P.T |
| License Number: | PT30626 |
| Business Practice Address: | 5151 N 9th Ave Pensacola, FL - 325048721 |
| Business Phone Number: | 8504162997 |
| Business Fax Number: | |
| Mailing Address: | 300 Clifford St Apt E, FORT WALTON BEACH |
| State: | FL |
| Postal Code: | 325473149 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2016 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT30626 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |