NPI 1487846366
William Bradley Jackson, PTA
Practice location
- Address
- 176 Division St, Great Barrington, MA 01230-1179
- Phone
- (413) 528-4289
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1487846366
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Aug 2007
- Record last updated
- 14 Aug 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.