SHANEL LOREE JACKSON

CLEARWATER, FL
NPI1780619817
Other NameSHANEL JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT24826)
Enumeration Date2006-07-11
Last Update Date2025-11-06
Business Address
Ms. SHANEL LOREE JACKSON P.T.
2155 MONTCLAIR RD
CLEARWATER, FL 33763-4287
Phone number: 727-380-5250
Mailing Address
Ms. SHANEL LOREE JACKSON P.T.
2916 ST JOHN DR
CLEARWATER, FL 33759-2122
Phone number: 816-241-2131