Individual
MRS. JULIA JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
905 MAIN ST, SUITE 615, KLAMATH FALLS, OR 97601-5810
(541) 281-1979
Mailing address
905 MAIN ST, SUITE 615, KLAMATH FALLS, OR 97601-5810
(541) 281-1979
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
9340
OR
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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