Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Dawn Jackson

Individual provider Physical Therapist · NPI 1760137889

Crystal Dawn Jackson is a Physical Therapist in Poway, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

14219 Kendra Way
Poway, CA 92064-3330
Phone: (858) 837-0180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 37600 (CA)

Record details

NPI number1760137889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 16, 2022
Mailing address14219 Kendra Way, Poway, CA 92064-3330

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