Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANDA D'RIECE JACKSON, P.T.
Active Sole ProprietorCHANDA D'RIECE JACKSON, P.T. is a Physical Therapy Assistant healthcare provider located in THOMAS, Oklahoma. NPI 1063440436 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · THOMAS, OK
Registration Details
- NPI Number
- 1063440436
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2006 (20.115912162761 yrs)
- Last Updated
- Mar 18, 2014
- License
-
3728 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 S 2ND STREETTHOMAS, OK, 73669Browse OK providers · Browse ZIP 73669
- Phone
- 5806612639
- Fax
- 5806612640
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in THOMAS, OK
| Name | Credential | NPI |
|---|---|---|
| SHELBY THOMAS | DPT | 1982144101 |
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.