Individual
KRISTIN L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
310 HICKORY RIDGE DR, EL LAGO, TX 77586-6007
(540) 424-3710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2149984
TX
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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