Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE DIANNE JACKSON, PT
ActiveMICHELLE DIANNE JACKSON, PT is a Physical Therapy Assistant healthcare provider located in LARGO, Maryland. NPI 1235263963 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LARGO, MD
Registration Details
- NPI Number
- 1235263963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2007 (19.375849366417 yrs)
- Last Updated
- Jul 8, 2007
- License
-
15783 (MD)
Practice Information
- Address
-
1221 MERCANTILE LNLARGO, MD, 207745374Browse MD providers · Browse ZIP 20774
- Phone
- 3016185552
- Fax
- 3018167170
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LARGO, MD
| Name | Credential | NPI |
|---|---|---|
| ANGELA AMEDRO | DPT | 1326185364 |
| MS. SHIRLEY C TOBIAS | PT | 1902943418 |
| MS. ALLISON F HOLMES | PT | 1629116710 |
| ADRIENNE D. RANDALL | PT | 1972798619 |
| MRS. LAURA D TOBIAS | PT | 1386819126 |
| MRS. LISA BASKINS | M.P.T. | 1003196486 |
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.