Matthew Jackson, DPT, MOT,ATC

NPI #1992027775 in Jena, Louisiana

Provider Information

NPI Number
1992027775
Entity Type
Individual
Name
Matthew Jackson, DPT, MOT,ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
DPT, MOT,ATC
Enumeration Date
Feb 22, 2010
Last Updated
Feb 22, 2010

Practice Location

Address
187 NINTH ST
City
Jena
ZIP Code
71342-2780
Phone
(318) 992-9200

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Specialist/Technologist - Athletic TrainerAthletic Trainer
Occupational Therapist

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