Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA M JACKSON
Active Sole ProprietorTARA M JACKSON is a Developmental Therapist healthcare provider located in AUBURN, Kentucky. NPI 1578784245 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · AUBURN, KY
Registration Details
- NPI Number
- 1578784245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2007 (19.300869861585 yrs)
- Last Updated
- Apr 29, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 G CORUM LNAUBURN, KY, 422065000Browse KY providers · Browse ZIP 42206
- Phone
- 2708477004
- Fax
- 2705422519
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in AUBURN, KY
| Name | Credential | NPI |
|---|---|---|
| KRISTA NASH-POSEY | — | 1386844413 |
| STEFANIE LAYNE SHRULL | DI | 1518106350 |
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.