Sandra Renee Jackson, PT, DPT, CHT

Physical Therapist · Manlius, NY

Individual Active NPI

NPI number 1740425735

Practice location

4476 Winding Creek Rd
Manlius, NY 13104-2482
Phone
(315) 682-8341

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NPI record

NPI
1740425735
Entity type
Individual (Type 1)
Enumeration date
December 5, 2008
Last updated
February 27, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 025060 NY

Mailing address

4476 Winding Creek Rd
Manlius, NY 13104-8342
Phone
(315) 682-8341

About Sandra Jackson

Sandra Renee Jackson, PT, DPT, CHT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 4476 Winding Creek Rd, Manlius, NY 13104-2482. The NPI number 1740425735 was assigned on December 5, 2008 and the record was last updated on February 27, 2015.

Sandra Jackson lists a license in the registry: #025060 (NY) 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 Sandra Renee Jackson, PT, DPT, CHT?

The NPI number is 1740425735.

What is the phone number of Sandra Jackson?

The phone number listed for the practice location is (315) 682-8341.

Where is Sandra Jackson located?

4476 Winding Creek Rd, Manlius, NY 13104-2482.

What is the taxonomy code for Sandra 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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