Randall Jackson
Randall Jackson is an Athletic Trainer in Overland Park, Kansas. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
9805 Bluejacket StOverland Park, KS 66214-2347
Phone: (785) 747-6717
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1225491301 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2016 |
| Last updated in NPPES | April 5, 2016 |
| Mailing address | 9805 Bluejacket St, Overland Park, KS 66214-2347 |
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