Taylor Nicole Jackson
Taylor Nicole Jackson is a Physical Therapist in Private Practice in Stafford Springs, Connecticut. Qualified in 2023, 3 years ago. Licensed in Connecticut.
- Years since qualifying
- 3
- Licensed in
- CT
- In the registry since
- 2023
Practice location Address checks out
77 W Stafford RdStafford Springs, CT 06076-1015
Phone: (860) 684-6528
Fax: (860) 684-5263
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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 14237 (CT) |
|---|
Record details
| NPI number | 1770357105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 7, 2023 |
| Last updated in NPPES | November 7, 2023 |
| Certification date | November 7, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Stafford Springs
-
Mrs. Christine B Anthony, PHYSICALTHERAPIST
58A W Stafford Rd, Stafford Springs, CT 06076 · (860) 684-6895
-
Renee Logan
205 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 · (860) 684-6341
-
Megan McCollum, DPT
58A W Stafford Rd, Stafford Springs, CT 06076-1067 · (860) 684-6528