Individual
DAILE M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 665-1166
(866) 902-1160
Mailing address
3266 FLUVANNA AVENUE EXT, FLUVANNA, NY 14701-9706
(716) 665-0773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033817-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03424691
—
NY
Enumeration date
07/13/2011
Last updated
01/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us