NPI 1336223411

Bobbi Jean Jackson, PTA

Practitioner Physical Therapy Assistant Humboldt, TN

Practice location

Address: 2031 Avondale St, Humboldt, TN 38343-1810
Phone: (731) 784-3655
Mailing address: 268 Hopper Barker Rd, Jackson, TN 38305-9462

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3108 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1336223411
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 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.