Susan Jackson in West Melbourne - Physical Therapist

Susan Jackson - NPI 1609042639

Susan Jackson is a Physical Therapist in West Melbourne, Florida. Susan Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Susan Jackson is 1609042639. The last update date is 2008-04-30.

Susan Jackson's current location address is 3275 Soft Breeze Cir, West Melbourne, Florida. You can contact this provider via phone number 3212237570. The mailing address for Susan Jackson is 3275 Soft Breeze Cir, West Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Jackson
Address 3275 Soft Breeze Cir, West Melbourne, Florida
Phone Number 3212237570
Fax Number
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1609042639
Provider Enumeration Date 2008-04-30
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 3275 Soft Breeze Cir
City West Melbourne
State Florida (FL)
Post Code 329047710
Phone Number 3212237570
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT6052
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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FAQs about Susan Jackson

What is the unique 10-digit identification code assigned to Susan Jackson by the Centers for Medicare & Medicaid Services?

The Susan Jackson has been issued the NPI (National Provider Identifier) 1609042639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Susan Jackson located?

The Susan Jackson is located at 3275 Soft Breeze Cir, West Melbourne, FL 329047710.

What is Susan Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Jackson is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Susan Jackson receive the assignment of its 1609042639 from the Centers for Medicare & Medicaid Services?

The Susan Jackson was issued its 1609042639 by the Centers for Medicare & Medicaid Services on 2008-04-30.

When was the information regarding Susan Jackson most recently updated?

The details pertaining to the Susan Jackson, including its address, specialty, and other relevant information, were last refreshed on 2008-04-30.

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