Individual
MRS. MELINDA KAY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
12819 HWY 231 431 N, SUITE G, HAZEL GREEN, AL 35750-8629
(256) 829-9544
(256) 829-9522
Mailing address
12819 HWY 231 431 N, SUITE G, HAZEL GREEN, AL 35750-8629
(256) 829-9544
(256) 829-9522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT0000008834
TN
225100000X
Physical Therapist
Primary
PTH2496
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517500
BLUE CROSS & BLUE SHIELD
AL
05
—
051517500
—
AL
01
—
1952310708
UNITED HEALTH CARE
AL
01
—
4137075
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/07/2006
Last updated
08/11/2025
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