Individual
MELODY LEA LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA AND IBCLC
Contact information
Practice address
4800 KELLER SPRINGS RD APT 1132, ADDISON, TX 75001-6385
(614) 218-3428
Mailing address
4800 KELLER SPRINGS RD APT 1132, ADDISON, TX 75001-6385
(614) 218-3428
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-319211
TX
225200000X
Physical Therapy Assistant
Primary
2086531
TX
225200000X
Physical Therapy Assistant
PTA5622
CA
Other
Enumeration date
08/05/2018
Last updated
10/05/2025
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