Tierra Jackson
NPI #1225426224 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1225426224
- Entity Type
- Individual
- Name
- Tierra Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 30, 2014
- Last Updated
- Dec 30, 2014
Practice Location
- Address
- 1500 PRIDE AVE
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-9157
- Phone
- (270) 821-1813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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