Matthew Holst Jackson in Lonoke - Physical Therapist
Matthew Holst Jackson - NPI 1821068180
Matthew Holst Jackson is a Physical Therapist in Lonoke, Arkansas. Matthew Holst Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Matthew Holst Jackson is 1821068180. The last update date is 2021-11-23.
Matthew Holst Jackson's current location address is 1515 N Center St Ste 5, Lonoke, Arkansas. You can contact this provider via phone number 5016765540 and fax number 5016766499. The mailing address for Matthew Holst Jackson is 1515 N Center St Ste 5, Lonoke, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Holst Jackson |
|---|---|
| Address | 1515 N Center St Ste 5, Lonoke, Arkansas |
| Phone Number | 5016765540 |
| Fax Number | 5016766499 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1821068180 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 1515 N Center St Ste 5 |
|---|---|
| City | Lonoke |
| State | Arkansas (AR) |
| Post Code | 720862100 |
| Phone Number | 5016765540 |
| Fax Number | 5016766499 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT1452 |
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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 |
|---|---|---|---|
| 127082721 | AR | -- |
Post Comment/ Review Below
What is the Matthew Holst Jackson's unique identification number?
The Matthew Holst Jackson has been assigned the NPI (National Provider Identifier) Number 1821068180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Matthew Holst Jackson's physical address?
The Matthew Holst Jackson is physically located at 1515 N Center St Ste 5, in the city of Lonoke, AR, with the postal code 720862100.
What is Matthew Holst Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Holst Jackson is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
When did the Matthew Holst Jackson receive its 1821068180?
The Matthew Holst Jackson was issued its 1821068180 on 2006-01-26, which is the date when the organization was assigned this unique identifier.
On what date did the Matthew Holst Jackson receive its 1821068180 assignment from the Centers for Medicare & Medicaid Services?
The Matthew Holst Jackson was assigned its 1821068180 by the Centers for Medicare & Medicaid Services on 2006-01-26.