Brandon Travon Jackson, DPT

NPI #1083163521 in Marietta, Georgia

Provider Information

NPI Number: 1083163521
Entity Type: Individual
Name: Brandon Travon Jackson, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 26, 2016
Last Updated: Oct 15, 2024

Practice Location

Address: 1395 S MARIETTA PKWY SE STE 212
City: Marietta
State: Georgia
ZIP Code: 30067-7832
Phone: (770) 615-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physical Therapist	225100000X	Primary

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