KATHY JACKSON

EL DORADO, AR
NPI1104088749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT278)
Enumeration Date2008-06-25
Last Update Date2008-06-25
Business Address
Ms. KATHY JACKSON PT
714 W GROVE ST
EL DORADO, AR 71730-4416
Phone number: 870-881-4677
Mailing Address
Ms. KATHY JACKSON PT
3308 DOGWOOD RD
EL DORADO, AR 71730-4155
Phone number: