Individual
CHRISTINA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 NE 41ST ST UNIT 201, ANKENY, IA 50021-6003
(515) 346-5959
Mailing address
660 E 5TH ST APT 1010, DES MOINES, IA 50309-5473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
127319
IA
Other
Enumeration date
12/08/2023
Last updated
07/05/2024
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