Chanda D'Riece Jackson, P.T.
Physical Therapist · Thomas, OK
Practice location
100 S 2ND StreetThomas, OK 73669
- Phone
- (580) 661-2639
- Fax
- (580) 661-2640
NPI record
- NPI
- 1063440436
- Entity type
- Individual (Type 1)
- Enumeration date
- June 28, 2006
- Last updated
- March 18, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X |
3728 | OK |
Mailing address
PO Box 797Thomas, OK 73669-0797
- Phone
- (580) 661-2639
- Fax
- (580) 661-2640
About Chanda Jackson
Chanda D'Riece Jackson, P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 100 S 2ND Street, Thomas, OK 73669. The NPI number 1063440436 was assigned on June 28, 2006 and the record was last updated on March 18, 2014.
Chanda Jackson lists a license in the registry: #3728 (OK) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Chanda D'Riece Jackson, P.T.?
The NPI number is 1063440436.
What is the phone number of Chanda Jackson?
The phone number listed for the practice location is (580) 661-2639.
Where is Chanda Jackson located?
100 S 2ND Street, Thomas, OK 73669.
What is the taxonomy code for Chanda Jackson?
The primary taxonomy code is 225100000X – Physical Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physical Therapist providers in Thomas
- Shelby Thomas, DPT104 N Main Street