Doctor Name: | MELODY ANTORA JABEZ |
NPI Number: | 1992956668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T |
License Number: | 35476 |
Business Practice Address: | 5547 S 4015 W #7 Taylorsville, UT - 841294429 |
Business Phone Number: | 8019676055 |
Business Fax Number: | |
Mailing Address: | 127 S. 500 E., Suite 600 SALT LAKE CITY |
State: | UT |
Postal Code: | 841021971 |
Phone Number: | 8015876336 |
Fax Number: | 8017158228 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 35476 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |