NPI 1134937725

Isaac T. Jackson, ATHLETICTRAINER

Practitioner Health & Wellness Coach Brandywine, MD

Practice location

Address: 3916 Woodreed Dr, Brandywine, MD 20613-6006
Phone: (301) 526-8416

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence 1241364241 (MD)

Other Health & Wellness Coach providers in Maryland →

Registry record

NPI: 1134937725
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2024
Record last updated: 27 Dec 2024

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.