John L Jackson, PT, DPT, ATC

NPI #1417435967 in Bothell, Washington

Provider Information

NPI Number: 1417435967
Entity Type: Individual
Name: John L Jackson, PT, DPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC
Enumeration Date: Aug 6, 2018
Last Updated: Mar 8, 2022

Practice Location

Address: 18323 98TH AVE NE STE 1
City: Bothell
State: Washington
ZIP Code: 98011-3358
Phone: (425) 371-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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