Michelle Stibora Jackson in Pearland - Physical Therapy Assistant

Michelle Stibora Jackson - NPI 1477671204

Michelle Stibora Jackson is a Physical Therapy Assistant in Pearland, Texas. Michelle Stibora Jackson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Michelle Stibora Jackson is 1477671204. The last update date is 2007-07-08.

Michelle Stibora Jackson's current location address is 2711 Shady Creek Dr, Pearland, Texas. You can contact this provider via phone number 7136653546. The mailing address for Michelle Stibora Jackson is 2711 Shady Creek Dr, Pearland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Stibora Jackson
Address 2711 Shady Creek Dr, Pearland, Texas
Phone Number 7136653546
Fax Number
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1477671204
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2711 Shady Creek Dr
City Pearland
State Texas (TX)
Post Code 775815623
Phone Number 7136653546
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2022598
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Michelle Stibora Jackson

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

The Michelle Stibora Jackson has been issued the NPI (National Provider Identifier) 1477671204, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Michelle Stibora Jackson's physical address?

The Michelle Stibora Jackson is physically located at 2711 Shady Creek Dr, in the city of Pearland, TX, with the postal code 775815623.

What is the Michelle Stibora Jackson's area of specialization and corresponding taxonomy classification?

The Michelle Stibora Jackson's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.

On what date did Michelle Stibora Jackson receive its 1477671204 assignment from the Centers for Medicare & Medicaid Services?

The Michelle Stibora Jackson was assigned its 1477671204 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Michelle Stibora Jackson most recently updated or refreshed?

The details pertaining to the Michelle Stibora Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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