Individual
BRITTANY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
800 MEDCALF ST, MONTESANO, WA 98563-1300
(360) 249-2273
Mailing address
1010 E WASHINGTON AVE APT 507, MADISON, WI 53703-4413
(845) 978-3314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15753-24
WI
225100000X
Physical Therapist
Primary
CP014479T
WA
225100000X
Physical Therapist
LPT-30358
AZ
Other
Enumeration date
03/15/2022
Last updated
08/02/2022
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