Individual
JACKSON CHRISTOPHER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 918-8619
Mailing address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 222-8892
(318) 222-8893
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12341
LA
Other
Enumeration date
05/21/2026
Last updated
05/26/2026
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