Matthew Jackson, DPT, MOT,ATC
Athletic Trainer · Jena, LA
Practice location
187 Ninth StJena, LA 71342-2780
- Phone
- (318) 992-9200
- Fax
- (318) 992-9280
NPI record
- NPI
- 1992027775
- Entity type
- Individual (Type 1)
- Enumeration date
- February 22, 2010
- Last updated
- February 22, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
07464 | LA |
| Physical Therapist | 225100000X |
07464 | LA |
| Occupational Therapist | 225X00000X |
07464 | LA |
Mailing address
187 Ninth StJena, LA 71342
- Phone
- (318) 992-9200
- Fax
- (318) 992-9280
About Dr. Jackson
Matthew Jackson, DPT, MOT,ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 187 Ninth St, Jena, LA 71342-2780. The NPI number 1992027775 was assigned on February 22, 2010 and the record was last updated on February 22, 2010.
Dr. Jackson lists 3 licenses in the registry: #07464 (LA) for Athletic Trainer; #07464 (LA) for Physical Therapist; #07464 (LA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Matthew Jackson, DPT, MOT,ATC?
The NPI number is 1992027775.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (318) 992-9200.
Where is Dr. Jackson located?
187 Ninth St, Jena, LA 71342-2780.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 2 more listed above.
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.