NPI 1003552696
Ceyli Jackson
Practice location
- Address
- 5100 Pecan Brook Dr, Austin, TX 78724-3302
- Phone
- (512) 537-1957
- Mailing address
- PO Box 113, Manor, TX 78653-0113
Registered specialties
Drama Therapist
Primary
Registry record
- NPI
- 1003552696
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 May 2022
- Record last updated
- 14 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.