Individual
JACOB JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
802 E MAIN ST, MANNINGTON, WV 26582-1215
(304) 986-9007
Mailing address
1500 GRAND CENTRAL AVE STE 101, VIENNA, WV 26105-1079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/28/2025
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