Shane Jackson, OWNER
Physical Therapist · Hurst, TX
Practice location
1717 Precinct Line Rd Ste 204Hurst, TX 76054-3169
- Phone
- (817) 479-7263
- Fax
- (817) 479-3954
NPI record
- NPI
- 1699495812
- Entity type
- Individual (Type 1)
- Enumeration date
- August 29, 2022
- Last updated
- August 29, 2022
- Certified
- August 29, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X |
1310272 | TX |
About Shane Jackson
Shane Jackson, OWNER is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1717 Precinct Line Rd Ste 204, Hurst, TX 76054-3169. The NPI number 1699495812 was assigned on August 29, 2022 and the record was last updated on August 29, 2022.
Shane Jackson lists a license in the registry: #1310272 (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 Shane Jackson, OWNER?
The NPI number is 1699495812.
What is the phone number of Shane Jackson?
The phone number listed for the practice location is (817) 479-7263.
Where is Shane Jackson located?
1717 Precinct Line Rd Ste 204, Hurst, TX 76054-3169.
What is the taxonomy code for Shane 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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- Ladislao Aguilar, PT, DPT1717 Precinct Line Rd Ste 204
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- Kelly Jones, PT305 NE Loop 820
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- Whitney Davis, PT, DPT305 NE Loop 820
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