| NPI | 1487682076 |
|---|---|
| Doing Business As | JACKSON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRANDON LEROY JACKSON Owner 702-898-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1365) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-03-22 |