NPI 1417502212

Jeffrey Jackson

Practitioner Physical Therapist Sand Springs, OK

Practice location

Address: 200 N Main St STE C, Sand Springs, OK 74063-7638
Phone: (918) 245-0111
Mailing address: PO Box 721018, Norman, OK 73070-4786

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5484 (OK)

Other Physical Therapist providers in Oklahoma →

Registry record

NPI: 1417502212
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2019
Record last updated: 7 Dec 2021

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.