Gerald Michael Jackson, PT

NPI #1730221029 in Pahrump, Nevada

Provider Information

NPI Number: 1730221029
Entity Type: Individual
Name: Gerald Michael Jackson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 13, 2007
Last Updated: Nov 20, 2019

Practice Location

Address: 2100 E CALVADA BLVD
City: Pahrump
State: Nevada
ZIP Code: 89048-5805
Phone: (775) 727-7959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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