Individual
JACQUELYN ELAINE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4601 66TH STREET, SUITE D, LUBBOCK, TX 79414-4828
(806) 793-3900
(806) 793-3937
Mailing address
4601 66TH STREET, SUITE D, LUBBOCK, TX 79414-4828
(806) 793-3900
(806) 793-3937
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1167823
TX
Other
Enumeration date
10/23/2006
Last updated
08/07/2007
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