Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL SHANE JACKSON, DPT
ActiveDANIEL SHANE JACKSON, DPT is a Physical Therapy Assistant healthcare provider located in KANSAS CITY, Missouri. NPI 1952301756 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KANSAS CITY, MO
Registration Details
- NPI Number
- 1952301756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2005 (21.018350627667 yrs)
- Last Updated
- Oct 6, 2022
- Licenses
-
2002029465 (MO)11-03205 (KS)
Practice Information
- Address
-
5501 NW 62ND TER STE 102KANSAS CITY, MO, 641512412Browse MO providers · Browse ZIP 64151
- Phone
- 8164534485
- Fax
- 8164534101
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. LESLIE L RICKETTS | M.P.T. | 1295735074 |
| MR. FRANK JOSEPH TERMINI | PT | 1083601777 |
| MR. GERALD N LAMPE | PT PHD | 1720069818 |
| MRS. JAMIE JO SMITH | MPT | 1598734964 |
| MR. ARNOLD E VILLAVICENCIO | — | 1629047063 |
| CRAIG HOWARD LEE | PT, DPT | 1558319004 |
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.