DAVID BLAKE JACKSON

WINCHESTER, KY
NPI1023527041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  007280)
Enumeration Date2017-09-21
Last Update Date2022-07-21
Business Address
DAVID BLAKE JACKSON DPT
273 SHOPPERS DR
WINCHESTER, KY 40391-2806
Phone number: 859-745-7995
Mailing Address
DAVID BLAKE JACKSON DPT
273 SHOPPERS DR
WINCHESTER, KY 40391-2806
Phone number: 859-745-7995
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