Jeremy Allen Jackson in Vallejo - Physical Therapist
Jeremy Allen Jackson - NPI 1023177516
Jeremy Allen Jackson is a Physical Therapist in Vallejo, California. Jeremy Allen Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jeremy Allen Jackson is 1023177516. The last update date is 2021-12-30.
Jeremy Allen Jackson's current location address is 975 Sereno Dr, Vallejo, California. You can contact this provider via phone number 7076514863. The mailing address for Jeremy Allen Jackson is 975 Sereno Dr, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Allen Jackson |
|---|---|
| Address | 975 Sereno Dr, Vallejo, California |
| Phone Number | 7076514863 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023177516 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 975 Sereno Dr |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892441 |
| Phone Number | 7076514863 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT32203 |
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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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What is the unique 10-digit identification code issued to Jeremy Allen Jackson by the Centers for Medicare & Medicaid Services?
The Jeremy Allen Jackson has been assigned the NPI (National Provider Identifier) 1023177516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jeremy Allen Jackson?
The Jeremy Allen Jackson is physically situated at 975 Sereno Dr, in the city of Vallejo, state of CA, with the postal code 945892441.
What is Jeremy Allen Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy Allen Jackson is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023177516 to Jeremy Allen Jackson?
The Centers for Medicare & Medicaid Services assigned the 1023177516 to Jeremy Allen Jackson on 2006-12-08.
As of what date were the details pertaining to Jeremy Allen Jackson last refreshed?
The information related to the Jeremy Allen Jackson, including its address, specialty, and other relevant details, was last updated on 2021-12-30.