CHASITY JACKSON

SHREVEPORT, LA
NPI1467072041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  09698R)
Enumeration Date2020-04-23
Last Update Date2022-11-01
Business Address
CHASITY JACKSON DPT
1535 RIVER PARKWAY BLVD APT 208
SHREVEPORT, LA 71104-1803
Phone number: 870-665-9462
Mailing Address
CHASITY JACKSON DPT
245 PEREGRINE WAY
BOSSIER CITY, LA 71112-2556
Phone number: 870-665-9462