Deshaun Jackson
Physical Therapy Assistant · Davison, MI
Practice location
709 Olivia DrDavison, MI 48423-1248
- Phone
- (810) 449-8321
NPI record
- NPI
- 1134652456
- Entity type
- Individual (Type 1)
- Enumeration date
- April 4, 2017
- Last updated
- April 4, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
5502004671 | MI |
About Deshaun Jackson
Deshaun Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 709 Olivia Dr, Davison, MI 48423-1248. The NPI number 1134652456 was assigned on April 4, 2017 and the record was last updated on April 4, 2017.
Deshaun Jackson lists a license in the registry: #5502004671 (MI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Deshaun Jackson?
The NPI number is 1134652456.
What is the phone number of Deshaun Jackson?
The phone number listed for the practice location is (810) 449-8321.
Where is Deshaun Jackson located?
709 Olivia Dr, Davison, MI 48423-1248.
What is the taxonomy code for Deshaun Jackson?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
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.
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- Ryan Mitchell, PTA3058 N State Rd Ste E
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- Demetrius Miller, PTA1515 Cal Dr