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

Rosa Jackson

Individual provider Recreation Therapist · NPI 1609249473

Rosa Jackson is a Recreation Therapist in Sacramento, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2150 Stockton Blvd
Sacramento, CA 95817-1337
Phone: (916) 875-1065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 4191-T (CA)

Record details

NPI number1609249473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2015
Last updated in NPPESNovember 2, 2015

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