Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR NICOLE JACKSON
ActiveTAYLOR NICOLE JACKSON is a Physical Therapy Assistant healthcare provider located in STAFFORD SPRINGS, Connecticut. NPI 1770357105 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · STAFFORD SPRINGS, CT
Registration Details
- NPI Number
- 1770357105
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2023 (2.5888995305365 yrs)
- Last Updated
- Nov 7, 2023
- License
-
14237 (CT)
Practice Information
- Address
-
77 W STAFFORD RDSTAFFORD SPRINGS, CT, 060761015Browse CT providers · Browse ZIP 06076
- Phone
- 8606846528
- Fax
- 8606845263
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in STAFFORD SPRINGS, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE B ANTHONY | PHYSICAL THERAPIST | 1063698090 |
| RENEE LOGAN | — | 1891278131 |
| MEGAN MCCOLLUM | DPT | 1386230381 |
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.