Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAMIEN S JACKSON-RICKETTS, PT, DPT
Active Sole ProprietorDR. DAMIEN S JACKSON-RICKETTS, PT, DPT is a Physical Therapy Assistant healthcare provider located in VENICE, California. NPI 1346765195 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VENICE, CA
Registration Details
- NPI Number
- 1346765195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2017 (8.8197936971745 yrs)
- Last Updated
- Feb 12, 2021
- License
-
293358 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
904 PALMS BLVDVENICE, CA, 902913853Browse CA providers · Browse ZIP 90291
- Phone
- 2767687816
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in VENICE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RENWICK YOSHIO MAEDA | PT MPT OCS GCFP | 1053364125 |
| MR. BRIAN MENDEZ | MPT, OCS, CSCS | 1205857604 |
| TANYA M RODRIGUEZ | PT | 1629190418 |
| STEVEN M SUDELL JR. | PT | 1912237330 |
| MARY JUNE AGUIRRE NOCETE | RPT | 1922354356 |
| DIANNA NOONAN | PT | 1558619460 |
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.