Tyler Jackson, DPT

NPI #1023489796 in Cupertino, California

Provider Information

NPI Number: 1023489796
Entity Type: Individual
Name: Tyler Jackson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 7, 2015
Last Updated: Oct 7, 2015

Practice Location

Address: 20823 STEVENS CREEK BLVD
City: Cupertino
State: California
ZIP Code: 95014-2108
Phone: (408) 252-6076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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