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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA RENEE JACKSON, PT, DPT, CHT

Active Sole Proprietor

SANDRA RENEE JACKSON, PT, DPT, CHT is a Physical Therapy Assistant healthcare provider located in MANLIUS, New York. NPI 1740425735 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MANLIUS, NY

Registration Details

NPI Number
1740425735
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2008 (17.547442881117 yrs)
Last Updated
Feb 27, 2015
License
025060 (NY)
Sole Proprietor
Yes

Practice Information

Address
4476 WINDING CREEK RD
MANLIUS, NY, 131042482
Browse NY providers · Browse ZIP 13104
Phone
3156828341
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MANLIUS, NY

Name Credential NPI
MRS. TIFFANY BOTTAR PT 1790757730
MR. WAYNE W. RATH PT 1295822005
MICHAEL P MCGEE PT 1801957410
PATRICIA M MULLER P.T. 1598075731
WENDY A BALDWIN KIEB PT 1770864811
DREW DAVID NELSON DPT 1902154289
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.