Kaci Jackson
Kaci Jackson is a Physical Therapist in Private Practice in Macon, Mississippi. Qualified in 2015, 11 years ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 11
- Licensed in
- MS
- In the registry since
- 2019
Practice location Address checks out
78 Hospital RdMacon, MS 39341-2490
Phone: (662) 726-4231
Fax: (601) 607-1345
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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 PT5726 (MS) |
|---|
Record details
| NPI number | 1255992525 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 26, 2019 |
| Last updated in NPPES | June 26, 2019 |
| Mailing address | 711 Avignon Dr, Ridgeland, MS 39157-5120 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Encore Rehabilitation, Inc — 182 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Macon
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Jeffrey Warren Hemphill
78 Hospital Rd, Macon, MS 39341-2490 · (662) 726-4231