Individual
DYNEISHA AKEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 CLEAR CREEK RD STE 102, KILLEEN, TX 76549-4985
(254) 554-2637
Mailing address
2300 CLEAR CREEK RD STE 102, KILLEEN, TX 76549-4985
(254) 554-2637
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1366736
TX
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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