Blackledge, Melanie K
Blackledge, Melanie K is an individual health care provider with primary practice located at 13020 N Telecom Pkwy , Temple Terrace FL 33637-0925. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blackledge, Melanie K can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
13020 N Telecom Pkwy
Temple Terrace FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6186
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 24825 | Florida |
Profile Details
NPI number | 1700879947 |
---|---|
LBN Legal business name | Blackledge, Melanie K |
Credentials | MS PT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2005 |
Last updated | Aug 15th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700879947 | NPPES |
Florida | Other | P00865877 | RAILROAD MEDICARE |
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