National Provider Identifier Database

MELANIE L JACKSON, MOTR/L, CHT – NPI #1174711550
Hand


Contact Information

MELANIE L JACKSON, MOTR/L, CHT
300 NE MISSOURI RD
LEE'S SUMMIT, MO64086-4714
Phone: 816-836-2500
Fax: 816-836-2525
Website:
Specialty Taxonomy Code
* Hand 225XH1200X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for MELANIE L JACKSON

NPI Number 1174711550
Credentials MOTR/L, CHT
Entity Individual
Enumeration date 10/10/2007
Last updated 09/17/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 17-02390
  • MO License #: 2008014106
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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