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

Mrs. Stacey Marie Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1578722278

Mrs. Stacey Marie Jackson, PTA is a Physical Therapy Assistant in Bellingham, Washington. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4680 Cordata Pkwy
Bellingham, WA 98226-8038
Phone: (360) 398-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1578722278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 6, 2008
Last updated in NPPESJune 6, 2008

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