JACOB JACKSON

EASLEY, SC
NPI1902661838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
(Licence: FL  PT43269)
Enumeration Date2024-02-20
Last Update Date2025-07-10
Business Address
JACOB JACKSON
838 POWDERSVILLE RD STE T
EASLEY, SC 29642-3703
Phone number: 864-671-1650
Mailing Address
JACOB JACKSON
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number: 866-370-8206