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

JONATHAN MARK JACKSON, DPT

Active

JONATHAN MARK JACKSON, DPT is a Physical Therapy Assistant healthcare provider located in TILLAMOOK, Oregon. NPI 1295062792 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TILLAMOOK, OR

Registration Details

NPI Number
1295062792
Provider Type
Individual
Gender
Male
NPI Issued
Nov 5, 2009 (16.751791442963 yrs)
Last Updated
Sep 10, 2014
Licenses
PT35976 (CA)
PT-2974 (ID)
60682 (OR)

Practice Information

Address
1000 3RD ST
TILLAMOOK, OR, 971413430
Browse OR providers · Browse ZIP 97141
Phone
5038424444
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in TILLAMOOK, OR

Name Credential NPI
MS. SUSAN DIANE KNOTTS PT LMT 1750493813
BRANDY JACOB 1790141919
DANIELLE NIGHTSHADE PT 1679252282
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.