Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DOMASCHUK-JACKSON, PT, DPT
ActiveNICOLE DOMASCHUK-JACKSON, PT, DPT is a Physical Therapy Assistant healthcare provider located in WASILLA, Alaska. NPI 1346514718 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WASILLA, AK
Registration Details
- NPI Number
- 1346514718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2012 (14.410353891544 yrs)
- Last Updated
- Nov 12, 2025
- License
-
115416 (AK)
Practice Information
- Address
-
1001 S KNIK GOOSE BAY RDWASILLA, AK, 996548083Browse AK providers · Browse ZIP 99654
- Phone
- 9077293300
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WASILLA, AK
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELLE HENNESSEY | DPT | 1639132517 |
| MR. AUDIE PADRONES | PT, MHS | 1205884335 |
| MEGAN CIANA | — | 1811942741 |
| RUSSELL BURLINGAME | PT, MS | 1003861667 |
| DR. JACOB BARRETT ARVIDSON | DPT | 1689620643 |
| ALICE HUTTUNEN | P.T. | 1255388492 |
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.