Individual
MS. MAIESHA N'TASHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 S EASTERN AVE STE 150, LAS VEGAS, NV 89119-0840
(725) 726-7847
(725) 726-7876
Mailing address
10785 W TWAIN AVE STE 250, LAS VEGAS, NV 89135-3026
(725) 726-7847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3170
NV
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/03/2013
Last updated
09/17/2024
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