Kristin L Jackson

NPI #1689221277 in Addison, Texas

Provider Information

NPI Number: 1689221277
Entity Type: Individual
Name: Kristin L Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 20, 2019
Last Updated: Aug 20, 2019

Practice Location

Address: 15820 ADDISON RD
City: Addison
State: Texas
ZIP Code: 75001-3549
Phone: (866) 919-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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