TARA JACKSON

LOUISVILLE, KY
NPI1144632837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  PTA-A01032)
Enumeration Date2014-05-29
Last Update Date2014-05-29
Business Address
-- TARA JACKSON
303 NORTH HURSTBOURNE PARKWAY SUITE 200
LOUISVILLE, KY 40222
Phone number: 502-412-5847
Mailing Address
-- TARA JACKSON
6328 STATE ROUTE 283
SEBREE, KY 42455-9358
Phone number: 270-835-2192
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