NPI 1013071745

Alicia Ladonna Jackson, PT

Practitioner Specialist Northport, AL

Practice location

Address: 3630 Northbrook Dr, Northport, AL 35473-5822
Phone: (205) 330-1001
Mailing address: 4206 Revere Way, Northport, AL 35475-4421

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Alabama →

Registry record

NPI: 1013071745
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2006
Record last updated: 8 Jul 2007

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.