MRS. Keri Lee Jackson, PT

NPI #1992004238 in Moore, Oklahoma

Provider Information

NPI Number: 1992004238
Entity Type: Individual
Name: MRS. Keri Lee Jackson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 25, 2011
Last Updated: Mar 25, 2011

Practice Location

Address: 2111 RIVERWALK DR
City: Moore
State: Oklahoma
ZIP Code: 73160-2700
Phone: (405) 636-7174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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