Individual
ADRIAN D. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 S 43RD ST, MILWAUKEE, WI 53220-1502
(414) 541-1000
Mailing address
11221 SYNERGY DR # A-466, MILWAUKEE, WI 53222-1353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4214-19
WI
Other
Enumeration date
01/22/2026
Last updated
01/26/2026
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