NPI 1124441621

Henry Edward Jackson

Practitioner Kinesiotherapist Richmond, VA

Practice location

Address: 1703 Georgia Ave, Richmond, VA 23220
Phone: (804) 873-6884

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1124441621
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2014
Record last updated: 4 Feb 2014

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.