Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COREY JACKSON, D.P.T.
ActiveCOREY JACKSON, D.P.T. is a Physical Therapy Assistant healthcare provider located in WICHITA, Kansas. NPI 1154735611 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WICHITA, KS
Registration Details
- NPI Number
- 1154735611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2014 (12.183334623859 yrs)
- Last Updated
- Sep 27, 2023
- License
-
11-04877 (KS)
Practice Information
- Address
-
3460 N RIDGE RD STE 80WICHITA, KS, 672051223Browse KS providers · Browse ZIP 67205
- Phone
- 3162020340
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| PATRICIA YOON | PT | 1386636066 |
| MS. LELA A SCHROTT | PT | 1891789285 |
| JACQUELINE K. BAALMAN | PT | 1417941220 |
| KARL R GLICK | L.P.T. | 1740261544 |
| MR. JOSHUA DARBY | PT | 1033190327 |
| GRETCHEN SEMSROTH | CPT | 1295718575 |
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.