Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY BRADLEY JACKSON, DPT
Active Sole ProprietorZACHARY BRADLEY JACKSON, DPT is a Physical Therapy Assistant healthcare provider located in LAS CRUCES, New Mexico. NPI 1205320405 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAS CRUCES, NM
Registration Details
- NPI Number
- 1205320405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2018 (8.1476290021791 yrs)
- Last Updated
- Sep 12, 2018
- Licenses
-
2305212070 (VA)PT5353 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2205 S MAIN STLAS CRUCES, NM, 880053113Browse NM providers · Browse ZIP 88005
- Phone
- 5756523515
- Fax
- 5756523518
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| DENNIS L PRICKETT | PT | 1336142744 |
| PATTI A. CARRILLO | P.T. | 1669476222 |
| MR. MONTY BARRY | PT | 1295736312 |
| NICOLE NOVOTNY | PT | 1801884416 |
| MR. RYAN BYBEE | MPT | 1205806031 |
| MRS. BRIDGET A. SCHOLLJEGERDES | P.T. | 1871562785 |
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.