| Doctor Name: | AUBREY DAHN JACKSON |
| NPI Number: | 1396863213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | |
| Business Practice Address: | 51600 Huntington Rd Suite B Lapine, OR - 97739 |
| Business Phone Number: | 5415367443 |
| Business Fax Number: | 5415852536 |
| Mailing Address: | 805 Sw Industrial Way, Suite 3 BEND |
| State: | OR |
| Postal Code: | 977021118 |
| Phone Number: | 5415852529 |
| Fax Number: | 5415852535 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |