| Doctor Name: | LYNDZIE JACKSON |
| NPI Number: | 1346678331 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 10438 |
| Business Practice Address: | 9127 W Thunderbird Rd Bldg 1 Suite 101 Peoria, AZ - 853814887 |
| Business Phone Number: | 4802220655 |
| Business Fax Number: | 4802221457 |
| Mailing Address: | Po Box 269084, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731269084 |
| Phone Number: | 6233988072 |
| Fax Number: | 6233988235 |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |