Individual
LUKAS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1000 LITTON LN, BLACKSBURG, VA 24060-6399
(540) 599-9211
Mailing address
1000 LITTON LN, BLACKSBURG, VA 24060-6399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210209
VA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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