JERMIE MICHEAL JACKSON

TUPELO, MS
NPI1730056979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PT-6667)
Enumeration Date2025-10-22
Last Update Date2025-10-22
Business Address
JERMIE MICHEAL JACKSON LPTA
1114 COMMONWEALTH BLVD
TUPELO, MS 38804-9301
Phone number: 662-840-6366
Mailing Address
JERMIE MICHEAL JACKSON LPTA
1114 COMMONWEALTH BLVD
TUPELO, MS 38804-9301
Phone number: 662-840-6366
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