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

Mrs. Jennifer Jo Hackman, PT, ATC

Individual provider Physical Therapist · NPI 1891790291

Mrs. Jennifer Jo Hackman, PT, ATC is a Physical Therapist in Boonville, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1420 W Ashley Rd
Boonville, MO 65233-2112
Phone: (660) 882-6115
Fax: (660) 882-6120
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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 2002024893 (MO)

Record details

NPI number1891790291
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESOctober 17, 2007

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