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

Mary Cobbs Jackson, PT

Individual provider Physical Therapist · NPI 1669740130

Mary Cobbs Jackson, PT is a Physical Therapist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1700 Buckner St Ste 150
Shreveport, LA 71101-4407
Phone: (318) 218-1993
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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 07663 (LA)

Record details

NPI number1669740130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 12, 2011
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022

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