Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melanie Sullivan

Individual provider Physical Therapy Assistant · NPI 1093163404

Melanie Sullivan is a Physical Therapy Assistant in Johnston, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2016
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Practice location Address checks out

6866 Jack London Dr
Johnston, IA 50131-4755
Phone: (641) 832-8690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 074902 (IA)

Record details

NPI number1093163404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 25, 2016

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