Mr. Christopher Carl Jackson, PHYSICALTHERAPIST
Mr. Christopher Carl Jackson, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Longville, Louisiana. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 21
- Licensed in
- LA
- In the registry since
- 2018
Practice location Address checks out
12739 Highway 171 Ste BLongville, LA 70652-5050
Phone: (337) 317-9290
Fax: (337) 725-4457
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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 06912 (LA) |
|---|
Record details
| NPI number | 1972009041 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICALTHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2018 |
| Last updated in NPPES | February 17, 2021 |
| Certification date | February 17, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Longville
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Randi Bullard, DPT
12739 Highway 171 Ste B, Longville, LA 70652-5050 · (337) 317-9290
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Sb Physical Therapy and Sports Rehab
12739 Highway 171 Ste B, Longville, LA 70652-5050 · (337) 317-9290