Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRIAM JACKSON
Active Sole ProprietorMIRIAM JACKSON is a Physical Therapy Assistant healthcare provider located in THIBODAUX, Louisiana. NPI 1376509265 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · THIBODAUX, LA
Registration Details
- NPI Number
- 1376509265
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2006 (20.275896603093 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT05216 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 E 3RD STTHIBODAUX, LA, 703013312Browse LA providers · Browse ZIP 70301
- Phone
- 9854485888
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in THIBODAUX, LA
| Name | Credential | NPI |
|---|---|---|
| MR. EDDIE HIMEL JR. | P.T. | 1700859758 |
| MR. JOHN L. DAIGLE | P.T. | 1700859568 |
| MR. LEE JOSEPH CORTEZ | P.T. | 1316909427 |
| MRS. SUSAN CARR HAY | PT | 1043273899 |
| CHET STERNFELS | MPT | 1992760102 |
| JASON JONES | — | 1689630311 |
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.