Whalio Doctors

NPI 1487846366

William Bradley Jackson, PTA

Practitioner Physical Therapy Assistant Great Barrington, MA

Practice location

Address
176 Division St, Great Barrington, MA 01230-1179
Phone
(413) 528-4289

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8151 (MA)

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.