Individual
NIKKI ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 442-2480
Mailing address
3452 ORCHID DR, HELENA, MT 59602-6091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2142PT
MT
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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