Matt Jackson
Matt Jackson is a Physical Therapist in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.
- Licensed in
- OK
- In the registry since
- 2016
Practice location Address checks out
1260 W Covell RdEdmond, OK 73003-3555
Phone: (405) 471-5522
Fax: (405) 471-5599
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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 5157 (OK) |
|---|
Record details
| NPI number | 1366990715 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 14, 2016 |
| Last updated in NPPES | September 14, 2016 |
| Mailing address | 440 Merchant Dr, Norman, OK 73069-6470 |
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