Paul Charles Jackson in Sierra Vista - Physical Therapy Assistant
Paul Charles Jackson - NPI 1639339443
Paul Charles Jackson is a Physical Therapy Assistant in Sierra Vista, Arizona. Paul Charles Jackson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Paul Charles Jackson is 1639339443. The last update date is 2008-06-16.
Paul Charles Jackson's current location address is 660 S Coronado Dr, Sierra Vista, Arizona. You can contact this provider via phone number 5204594900. The mailing address for Paul Charles Jackson is 660 S Coronado Dr, Sierra Vista, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Charles Jackson |
|---|---|
| Address | 660 S Coronado Dr, Sierra Vista, Arizona |
| Phone Number | 5204594900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1639339443 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 660 S Coronado Dr |
|---|---|
| City | Sierra Vista |
| State | Arizona (AZ) |
| Post Code | 856353386 |
| Phone Number | 5204594900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 7580A |
|
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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Post Comment/ Review Below
What is the unique identification code assigned to Paul Charles Jackson by the Centers for Medicare & Medicaid Services?
The Paul Charles Jackson has been issued the NPI (National Provider Identifier) 1639339443. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Paul Charles Jackson is located?
The Paul Charles Jackson is situated at the following address: 660 S Coronado Dr, Sierra Vista, AZ, 856353386.
What is Paul Charles Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul Charles Jackson's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
On what date was the 1639339443 assigned to Paul Charles Jackson?
The Paul Charles Jackson was issued its 1639339443 on 2008-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Paul Charles Jackson's details last updated?
The information pertaining to the Paul Charles Jackson, including its address, specialty, and other details, was most recently updated on 2008-06-16.
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