NPI 1083064851

Stuart Jackson, LAT

Practitioner Athletic Trainer Dickinson, TX

Practice location

Address: 2806 Woodlawn St, Dickinson, TX 77539-4668
Phone: (281) 702-3285

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT4250 (TX)

Other Specialist/Technologist providers in Texas →

Registry record

NPI: 1083064851
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2016
Record last updated: 13 Jun 2016

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.