Individual
SARAH MYERS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2500 VIKING DRIVE, BOSSIER CITY, LA 71111
(318) 549-7387
Mailing address
6126 LOVERS LANE, SHREVEPORT, LA 71105
(318) 773-7407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00099R
LA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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