Matthew Holst Jackson, PT

NPI #1821068180 in Lonoke, Arkansas

Provider Information

NPI Number: 1821068180
Entity Type: Individual
Name: Matthew Holst Jackson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 26, 2006
Last Updated: Nov 23, 2021

Practice Location

Address: 1515 N CENTER ST STE 5
City: Lonoke
State: Arkansas
ZIP Code: 72086-2100
Phone: (501) 676-5540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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