DR. Nicole R Jackson, DPT

NPI #1033972104 in Brentwood, Missouri

Provider Information

NPI Number: 1033972104
Entity Type: Individual
Name: DR. Nicole R Jackson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 1, 2024
Last Updated: Feb 1, 2024

Practice Location

Address: 1335 STRASSNER DR
City: Brentwood
State: Missouri
ZIP Code: 63144-1872
Phone: (313) 289-0178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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