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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHAWN E JACKSON, P.T.

Active Sole Proprietor

MR. 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 RD
SUITE 111
GREEN BAY, WI, 543034863
Browse 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.