Individual
JACKSON HIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7720 DUDLEY DR, WEST CHESTER, OH 45069-2400
(513) 779-5410
Mailing address
9437 OLIVE BLVD, OLIVETTE, MO 63132-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP034904T
OH
Other
Enumeration date
08/09/2023
Last updated
10/20/2024
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