TRACIE JACKSON

TOPEKA, KS
NPI1184167751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-01976)
Enumeration Date2016-11-29
Last Update Date2016-11-29
Business Address
-- TRACIE JACKSON CPTA
6300 SW 6TH AVE
TOPEKA, KS 66615-1013
Phone number: 785-272-2124
Mailing Address
-- TRACIE JACKSON CPTA
6300 SW 6TH AVE
TOPEKA, KS 66615-1013
Phone number: 785-272-2124
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