Individual
ASHLEE BROOKE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
376 MANCHESTER SQUARE SHOPPING CENTER, MANCHESTER, KY 40962
(606) 599-1709
Mailing address
PO BOX 160, MANCHESTER, KY 40962-0160
(606) 598-7673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02403
KY
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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