Dr. Bryan W Jackson, D.C., P.T.
Physical Therapist in Middletown, CT. Individual provider (NPI-1).
NPI number1649288317
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1649288317
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryan W Jackson
- Credential
- D.C., P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2006
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 005803 | CT | Yes |
| 111N00000X | Chiropractor | 3372 | NC | |
| 225100000X | Physical Therapist | 9924 | NC |
Practice location
410 Saybrook Rd Ste 100Middletown, CT 06457
Phone 860-638-3820 · Fax 860-638-3840
Mailing address
410 Saybrook Rd Ste 100Middletown, CT 06457-4780
Phone 860-638-3820 · Fax 860-638-3840
Other practice locations
5215 South Blvd Ste A
Charlotte, NC 28217-2771
Charlotte, NC 28217-2771
Phone 704-525-6288 · Fax 704-525-6384
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All 48 Physical Therapist providers in Middletown · All 1,959 providers in Middletown
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