Individual
DAVID R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
217 E 5TH ST, EUREKA, MO 63025-1223
(636) 549-0151
(636) 549-0152
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019003974
MO
Other
Enumeration date
11/20/2018
Last updated
03/20/2025
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