David Andrew Jackson in Sellersburg - Physical Therapist

David Andrew Jackson - NPI 1679547269

David Andrew Jackson is a Physical Therapist in Sellersburg, Indiana. David Andrew Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for David Andrew Jackson is 1679547269. The last update date is 2007-07-09.

David Andrew Jackson's current location address is 326 N Indiana Ave, Sellersburg, Indiana. You can contact this provider via phone number 8122468975 and fax number 8122468977. The mailing address for David Andrew Jackson is 326 N Indiana Ave, Sellersburg, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name David Andrew Jackson
Address 326 N Indiana Ave, Sellersburg, Indiana
Phone Number 8122468975
Fax Number 8122468977
Sole Proprietor X
Credentials P.T.

NPI Number Detail

NPI Number 1679547269
Provider Enumeration Date 2006-02-13
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 326 N Indiana Ave
City Sellersburg
State Indiana (IN)
Post Code 471721223
Phone Number 8122468975
Fax Number 8122468977

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 5002999
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42777 IN ANTHEM PIN #
64-00191 IN UHC PIN #

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FAQs about David Andrew Jackson

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

The David Andrew Jackson has been issued the NPI (National Provider Identifier) 1679547269, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of David Andrew Jackson?

The David Andrew Jackson is situated at 326 N Indiana Ave, in the city of Sellersburg, state of IN, with the zip code 471721223.

What is the David Andrew Jackson's specialty and taxonomy code?

The David Andrew Jackson's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the David Andrew Jackson receive its 1679547269 assignment from the Centers for Medicare & Medicaid Services?

The David Andrew Jackson was assigned its 1679547269 by the Centers for Medicare & Medicaid Services on 2006-02-13.

As of what date was the information pertaining to David Andrew Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Andrew Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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