Janis Arlean Jackson, PTA

Physical Therapy Assistant · Medford, OR

Individual Active NPI

NPI number 1407295074

Practice location

3512 Excel Dr Ste 105
Medford, OR 97504-9850
Phone
(541) 245-0419
Fax
(541) 245-0426

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NPI record

NPI
1407295074
Entity type
Individual (Type 1)
Enumeration date
June 17, 2013
Last updated
June 17, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 08248 OR

About Janis Jackson

Janis Arlean Jackson, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3512 Excel Dr Ste 105, Medford, OR 97504-9850. The NPI number 1407295074 was assigned on June 17, 2013 and the record was last updated on June 17, 2013.

Janis Jackson lists a license in the registry: #08248 (OR) 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 Janis Arlean Jackson, PTA?

The NPI number is 1407295074.

What is the phone number of Janis Jackson?

The phone number listed for the practice location is (541) 245-0419.

Where is Janis Jackson located?

3512 Excel Dr Ste 105, Medford, OR 97504-9850.

What is the taxonomy code for Janis 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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