David Nathan Jackson, PT

Physical Therapist · Tyler, TX

Individual Active NPI

NPI number 1548456502

Practice location

7922 S Broadway Ave
Tyler, TX 75703-5242
Phone
(903) 983-7775

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NPI record

NPI
1548456502
Entity type
Individual (Type 1)
Enumeration date
September 23, 2007
Last updated
September 4, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 1156269 TX

Mailing address

PO Box 6336
Tyler, TX 75711-6336
Phone
(903) 388-8378

About David Jackson

David Nathan Jackson, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 7922 S Broadway Ave, Tyler, TX 75703-5242. The NPI number 1548456502 was assigned on September 23, 2007 and the record was last updated on September 4, 2012.

David Jackson lists a license in the registry: #1156269 (TX) 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 David Nathan Jackson, PT?

The NPI number is 1548456502.

What is the phone number of David Jackson?

The phone number listed for the practice location is (903) 983-7775.

Where is David Jackson located?

7922 S Broadway Ave, Tyler, TX 75703-5242.

What is the taxonomy code for David 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.

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