Individual
GERALD MICHAEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2100 E CALVADA BLVD, PAHRUMP, NV 89048-5805
(775) 727-7959
(775) 727-7960
Mailing address
2100 E CALVADA BLVD, PAHRUMP, NV 89048-5805
(775) 727-7959
(775) 727-7960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0624
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730221029
—
NV
Enumeration date
02/13/2007
Last updated
11/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us