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Individual

JACOB JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
838 POWDERSVILLE RD STE T, EASLEY, SC 29642-3703
(864) 671-1650
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT43269
FL
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/20/2024
Last updated
07/10/2025
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