Organization
DR. KATIE JACKSON'S WOUND, OSTOMY AND FOOTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE JACKSON PT (PT, OWNER)
(978) 821-0842
Entity
Organization
Contact information
Practice address
179 GLENWOOD RD, RUTLAND, MA 01543-1614
(978) 821-0842
Mailing address
16 WOODLAND DR, WESTMINSTER, MA 01473-1132
(978) 821-0842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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