Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY M JACKSON
Active Sole ProprietorJODY M JACKSON is a Mechanotherapist healthcare provider located in WEST ST PAUL, Minnesota. NPI 1407235922 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · WEST ST PAUL, MN
Registration Details
- NPI Number
- 1407235922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2015 (11.221860508216 yrs)
- Last Updated
- Dec 26, 2015
- License
-
153830-6 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 WENTWORTH AVE ESUITE 240WEST ST PAUL, MN, 551183431Browse MN providers · Browse ZIP 55118
- Phone
- 6127707565
- Primary Specialty
-
Mechanotherapist
172M00000X
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.