Kathy Jackson in El Dorado - Physical Therapist
Kathy Jackson - NPI 1104088749
Kathy Jackson is a Physical Therapist in El Dorado, Arkansas. Kathy Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kathy Jackson is 1104088749. The last update date is 2008-06-25.
Kathy Jackson's current location address is 714 W Grove St, El Dorado, Arkansas. You can contact this provider via phone number 8708814677. The mailing address for Kathy Jackson is 714 W Grove St, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Jackson |
|---|---|
| Address | 714 W Grove St, El Dorado, Arkansas |
| Phone Number | 8708814677 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1104088749 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 714 W Grove St |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 717304416 |
| Phone Number | 8708814677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT278 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116655721 | AR | -- |
Post Comment/ Review Below
What is the Kathy Jackson's unique identification number?
The Kathy Jackson has been assigned the NPI (National Provider Identifier) Number 1104088749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kathy Jackson's facilities are situated?
The facilities of Kathy Jackson are physically located at the following address: 714 W Grove St, El Dorado, AR, 717304416.
What is Kathy Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathy Jackson is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
When was the Kathy Jackson's 1104088749 issued?
The Kathy Jackson's 1104088749 was issued on 2008-06-25.
When was the information related to Kathy Jackson most recently updated or refreshed?
The details pertaining to the Kathy Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-25.