Dr. Rebecca R. Jackson LLC

NPI #1821211210 in Blaine, Minnesota

Provider Information

NPI Number: 1821211210
Entity Type: Organization
Organization Name: Dr. Rebecca R. Jackson LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 12203 ABERDEEN ST NE
Address 2: SUITE 140
City: Blaine
State: Minnesota
ZIP Code: 55449-4719
Phone: (763) 785-4120

Authorized Official

Name: DR. REBECCA RENE JACKSON, D.C
Title: CHIROPRACTOR, OWNER
Phone: (763) 785-4120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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