Individual
MR. JOHN D ACKISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT, MS,OCS
Contact information
Practice address
4020 RAINTREE RD, SUITE D, CHESAPEAKE, VA 23321-3749
(757) 484-4241
(757) 484-4487
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467439737
—
VA
01
—
5039662
AETNA
VA
01
—
P00814677
RAILROAD MEDICARE
VA
Enumeration date
12/28/2005
Last updated
04/27/2016
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