COREY JACKSON

WICHITA, KS
NPI1154735611
Professional NameCOREY JACKSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-04877)
Enumeration Date2014-06-12
Last Update Date2023-09-27
Business Address
COREY JACKSON D.P.T.
3460 N RIDGE RD STE 80
WICHITA, KS 67205-1223
Phone number: 316-202-0340
Mailing Address
COREY JACKSON D.P.T.
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 316-263-0003
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