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

Melissa Jack, DAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1952642639

Melissa Jack, DAT, LAT, ATC is an Athletic Trainer in Webster, Texas. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

15826 Roxton Ridge Dr
Webster, TX 77598-2544
Phone: (484) 515-5728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1420 New Bellevue Ave, Daytona Beach, FL 32114-5665 — (484) 515-5728

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1952642639
Entity typeIndividual (Type 1)
GenderFemale
Credentials DAT , LAT , ATC
Sole proprietorYes
NPI enumeratedMarch 6, 2013
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020
Mailing address15826 Roxton Ridge Dr, Webster, TX 77598-2544

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