Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE B CANNON, DPT
ActiveJACKIE B CANNON, DPT is a Physical Therapy Assistant healthcare provider located in DAGSBORO, Delaware. NPI 1770628067 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DAGSBORO, DE
Registration Details
- NPI Number
- 1770628067
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2007 (19.446599688836 yrs)
- Last Updated
- Feb 25, 2019
- Licenses
-
6994 (SC)PT003408L (PA)
Practice Information
- Address
-
35111 SEAGRASS PLANTATION LNDAGSBORO, DE, 19939Browse DE providers · Browse ZIP 19939
- Phone
- 8664848193
- Fax
- 8885164393
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.