Cheryl Jackson, D.P.T.

NPI #1730333436 in Greendale, Wisconsin

Provider Information

NPI Number: 1730333436
Entity Type: Individual
Name: Cheryl Jackson, D.P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Nov 6, 2008
Last Updated: Nov 6, 2008

Practice Location

Address: 5404 W LOOMIS RD
City: Greendale
State: Wisconsin
ZIP Code: 53129-1411
Phone: (414) 421-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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