Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN E JACKSON, P.T.
Active Sole ProprietorMR. SHAWN E JACKSON, P.T. is a Physical Therapy Assistant healthcare provider located in GREEN BAY, Wisconsin. NPI 1053577825 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GREEN BAY, WI
Registration Details
- NPI Number
- 1053577825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2008 (18.055072934682 yrs)
- Last Updated
- May 21, 2015
- License
-
#4899-024 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2701 LARSEN RDSUITE 111GREEN BAY, WI, 543034863Browse WI providers · Browse ZIP 54303
- Phone
- 9208832284
- Fax
- 9208841026
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. CORY W PEED | PT | 1710989447 |
| SARA E ADAMS | PT | 1255329983 |
| RACHELLE B SCHROEDER | PT | 1790760247 |
| TODD A WINNEY | PT | 1154306611 |
| DAVID ALLEN GROOP | PT | 1265417869 |
| CHERYL L HAAG | PT | 1427033026 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.