Doctor Name: | MS. KIMBERLY DAWN JACKSON |
NPI Number: | 1093130726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | P2567 |
Business Practice Address: | 801 W Barbee Chapel Rd Chapel Hill, NC - 275178188 |
Business Phone Number: | 9193852600 |
Business Fax Number: | |
Mailing Address: | 5213 S Alston Ave, DURHAM |
State: | NC |
Postal Code: | 277134430 |
Phone Number: | 9196204917 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P2567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |