Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY JACKSON
Active Sole ProprietorJEFFREY JACKSON is a Physical Therapy Assistant healthcare provider located in SAND SPRINGS, Oklahoma. NPI 1417502212 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAND SPRINGS, OK
Registration Details
- NPI Number
- 1417502212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2019 (7.02980881479 yrs)
- Last Updated
- Dec 7, 2021
- License
-
5484 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 N MAIN ST STE CSAND SPRINGS, OK, 740637638Browse OK providers · Browse ZIP 74063
- Phone
- 9182450111
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAND SPRINGS, OK
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC RICHARD KEIPER | PHYSICAL THERAPIST | 1073733838 |
| AMIRA AL-JIBOORI | MPT | 1558552695 |
| ROBYN POTTER | MPT | 1811134224 |
| MRS. BROOKE A. HERRINGTON | D.P.T. | 1780816363 |
| RICHARD L SPENCER JR. | DPT | 1407111867 |
| MOLLY JEAN WOODHALL | PT, DPT | 1104299221 |
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.