Amy Kathleen Jackson, A.T.C.
NPI #1316054166 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1316054166
- Entity Type
- Individual
- Name
- Amy Kathleen Jackson, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1816 170TH ST
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1451
- Phone
- (708) 335-1415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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