MELISSA MACK
NPI 1366880718
Rehabilitation Practitioner in Covina, CA
- Individual
- Female
- Rehabilitation Practitioner
About MELISSA MACK
This page provides the complete NPI Profile along with additional information for Melissa Mack, a provider established in Covina, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1366880718 assigned on June 2013. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1366880718 Verify this NPI
- Provider Name
- MELISSA MACK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1126 N GRAND AVE COVINA, CA 91724
- Location Phone
- (626) 967-1667
- Mailing Address
- 2165 RAYMOND AVE APT #3 ALTADENA, CA 91001
- Mailing Phone
- (626) 644-8440
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-07-2013
- Last Update Date
- 06-07-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366880718, enumerated as an "individual" on June 07, 2013.
The provider is located at 1126 N GRAND AVE COVINA, CA 91724 and the phone number is (626) 967-1667.
Rehabilitation Practitioner with taxonomy code 225400000X.
