Doctor Name: | MARTHA JACKSON |
NPI Number: | 1932261260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5411 |
Business Practice Address: | 5555 Glendon Ct Dublin, OH - 430163249 |
Business Phone Number: | 1877641201 |
Business Fax Number: | |
Mailing Address: | 2397 Edgevale Rd, COLUMBUS |
State: | OH |
Postal Code: | 432211217 |
Phone Number: | 6144421638 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |