Jacob T Jackson, DPT
Physical Therapist in Keller, TX. Individual provider (NPI-1).
NPI number1003673369
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1003673369
- Entity type
- Individual (NPI-1)
- Name
- Jacob T Jackson
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1389882 | TX | Yes |
Practice location
100 Bourland Rd Ste 170bKeller, TX 76248-3591
Phone 800-404-6050
Mailing address
Po Box 700688San Antonio, TX 78270-0688
Phone 800-404-6050 · Fax 866-313-3397
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All 58 Physical Therapist providers in Keller · All 1,355 providers in Keller
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