| Doctor Name: | DAVID NATHAN JACKSON |
| NPI Number: | 1548456502 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1156269 |
| Business Practice Address: | 7922 S Broadway Ave Tyler, TX - 757035242 |
| Business Phone Number: | 9039837775 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6336, TYLER |
| State: | TX |
| Postal Code: | 757116336 |
| Phone Number: | 9033888378 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2007 |
| NPI Last Update Date: | 09/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1156269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |