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

KATHY JACKSON, PT

Active

KATHY JACKSON, PT is a Physical Therapy Assistant healthcare provider located in LIVE OAK, Florida. NPI 1811060379 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LIVE OAK, FL

Registration Details

NPI Number
1811060379
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2006 (19.746552763889 yrs)
Last Updated
Jul 8, 2007
License
PT17158 (FL)

Practice Information

Address
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL, 32060
Browse FL providers · Browse ZIP 32060
Phone
3866585865
Fax
3866585542
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LIVE OAK, FL

Name Credential NPI
JOHN C PALMER DPT 1447341425
EMILY FOLSOM DPT 1114342409
BHUPENDRA SHAH PT 1033645015
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.