Cody Jefferson Jacks, DPT

NPI #1669148391 in Anderson, California

Provider Information

NPI Number
1669148391
Entity Type
Individual
Name
Cody Jefferson Jacks, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Aug 22, 2021
Last Updated
Aug 22, 2021

Practice Location

Address
2835 CHILDRESS DR
ZIP Code
96007-3563
Phone
(530) 378-0098

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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