Doctor Name: | MR. DONALD WAYNE JACKO |
NPI Number: | 1033201561 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 195 |
Business Practice Address: | 1520 Harrison Ave Elkins, WV - 26241 |
Business Phone Number: | 3046362340 |
Business Fax Number: | 3046361583 |
Mailing Address: | Rt 2 Box 244, ELKINS |
State: | WV |
Postal Code: | 26241 |
Phone Number: | 3046367178 |
Fax Number: | 3046367178 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |