Individual
HALEIGH D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19049 E VALLEY VIEW PKWY STE H, INDEPENDENCE, MO 64055-7026
(816) 795-8944
Mailing address
19049 E VALLEY VIEW PKWY STE H, INDEPENDENCE, MO 64055-7026
(816) 795-8944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018020980
MO
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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