Individual
NICOLE DOMASCHUK-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115416
AK
Other
Enumeration date
03/02/2012
Last updated
11/12/2025
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