William Bradley Jackson, pta
Physical Therapy Assistant in Great Barrington, MA. Individual provider (NPI-1).
NPI number1487846366
StatusActive
Last updated in NPPESAug 14, 2007
Details
- NPI
- 1487846366
- Entity type
- Individual (NPI-1)
- Name
- William Bradley Jackson
- Credential
- pta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2007
- Last updated
- Aug 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 8151 | MA | Yes |
Practice location
176 Division StGreat Barrington, MA 01230-1179
Phone 413-528-4289
Mailing address
176 Division StGreat Barrington, MA 01230-1179
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Great Barrington, MA
- Kaylee Beauregard, PTANPI 1013675149
- Jim BienvenueNPI 1043683436
- Kyle DelsoldatoNPI 1770145674
- Kevin GuerreroNPI 1801262415
- Bridget Quinndicarlo, PTANPI 1902238751
All 6 Physical Therapy Assistant providers in Great Barrington · All 356 providers in Great Barrington
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