Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KYLE JACKSON, PT
ActiveMR. KYLE JACKSON, PT is a Physical Therapy Assistant healthcare provider located in PETALUMA, California. NPI 1861597908 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PETALUMA, CA
Registration Details
- NPI Number
- 1861597908
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.87675066194 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PT27666 (CA)
Practice Information
- Address
-
1310 CASA GRANDE RDSUITE BPETALUMA, CA, 949545603Browse CA providers · Browse ZIP 94954
- Phone
- 7077820921
- Fax
- 7077820926
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE MICHELLE QUINN | M.P.T. | 1023071909 |
| RICK SUSICK | MS PT ATC | 1962599704 |
| MRS. DEBRA MAY SOJKA | P.T. | 1306933676 |
| MR. ROBERT L. CLARK | PT | 1376627885 |
| MRS. ALAKNANDA DEVASKAR | PT | 1457427957 |
| ELIZABETH YOUMANS STRATOS | P.T., A.T.C. | 1427124718 |
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.