MRS. Jennifer Jo Hackman, P.T. ,A.T.C.

NPI #1891790291 in Boonville, Missouri

Provider Information

NPI Number: 1891790291
Entity Type: Individual
Name: MRS. Jennifer Jo Hackman, P.T. ,A.T.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T. ,A.T.C.
Enumeration Date: Jun 14, 2005
Last Updated: Oct 17, 2007

Practice Location

Address: 1420 W ASHLEY RD
City: Boonville
State: Missouri
ZIP Code: 65233-2112
Phone: (660) 882-6115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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