Tana Jackosn
Tana Jackosn is a Physical Therapy Assistant in Kalamazoo, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1903 W Michigan AveKalamazoo, MI 49008-5200
Phone: (269) 387-3248
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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 · Licence 5502003072 |
|---|
Record details
| NPI number | 1699442608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 26, 2021 |
| Last updated in NPPES | August 26, 2021 |
| Certification date | August 26, 2021 |
| Mailing address | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 |
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