Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN JACKSON, PT
ActiveSUSAN JACKSON, PT is a Physical Therapy Assistant healthcare provider located in WEST MELBOURNE, Florida. NPI 1609042639 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WEST MELBOURNE, FL
Registration Details
- NPI Number
- 1609042639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2008 (18.259524445225 yrs)
- Last Updated
- Apr 30, 2008
- License
-
PT6052 (FL)
Practice Information
- Address
-
3275 SOFT BREEZE CIRWEST MELBOURNE, FL, 329047710Browse FL providers · Browse ZIP 32904
- Phone
- 3212237570
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WEST MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER A FAIRBANK | PT | 1659489391 |
| FOREST MCDOWELL | — | 1871603910 |
| MISS APRIL BOLTIADOR REYES | RPT | 1962527135 |
| MRS. WINNIE MORALES REYNOSO | P.T. | 1780709741 |
| BYRON E AMES | PT | 1902004609 |
| RICHARD ALLEN YOUNG | PT | 1669655775 |
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.