Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHRISTOPHER CARL JACKSON, PHYSICAL THERAPIST
Active Sole ProprietorMR. CHRISTOPHER CARL JACKSON, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in LONGVILLE, Louisiana. NPI 1972009041 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LONGVILLE, LA
Registration Details
- NPI Number
- 1972009041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2018 (8.1787513866108 yrs)
- Last Updated
- Feb 17, 2021
- License
-
06912 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12739 HIGHWAY 171 STE BLONGVILLE, LA, 706525050Browse LA providers · Browse ZIP 70652
- Phone
- 3373179290
- Fax
- 3377254457
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LONGVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| RANDI BULLARD | DPT | 1750063517 |
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.