Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY JEFFERSON JACKS, DPT
ActivePhysical Therapy Assistant · ANDERSON, CA
Registration Details
- NPI Number
- 1669148391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2021 (4.7283035967495 yrs)
- Last Updated
- Aug 22, 2021
Practice Information
- Address
-
2835 CHILDRESS DRANDERSON, CA, 960073563Browse CA providers · Browse ZIP 96007
- Phone
- 5303780098
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ANDERSON, CA
| Name | Credential | NPI |
|---|---|---|
| GARRET A GHEEN | PT | 1356396642 |
| STEPHANIE SCIARRA SMITH | P.T. | 1194741900 |
| CHRISTIAN MEYER MERCILL | P.T. | 1699050997 |
| HANNAH LEHUA HAMILTON | DPT | 1407240245 |
| JONATHAN KOZA | PT | 1073144614 |
| SHASTA JOY CRAWFORD | PT | 1780200154 |
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.