Individual
KEYLEY LYNNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12181 COUNTY LINE RD STE 150, MADISON, AL 35758-7740
(256) 489-1100
(256) 429-2197
Mailing address
1267 ENTERPRISE WAY NW STE B, HUNTSVILLE, AL 35806-4472
(256) 713-1872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2-1194
AL
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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