Individual
MR. STEPHEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
13053 HWY. 73, STE. B, GEISMAR, LA 70734-3021
(225) 744-3631
(225) 744-3647
Mailing address
13053 HWY. 73, STE. B, GEISMAR, LA 70734-3021
(225) 744-3631
(225) 744-3647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09089
LA
Other
Enumeration date
07/29/2015
Last updated
01/20/2026
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