Shawn Jackson, P.T

NPI 1053577825 · on the registry since 2008 · sole proprietor

Practice

Address: 2701 Larsen Rd
Suite 111
Green Bay, WI 54303
Phone: (920) 883-2284
Fax: (920) 884-1026
Organisation at this address: Renew Physical Therapy, Inc
Harbor Health And Wellness Llc
Castle Health And Wellness, Llc
Promises Counseling Services, Llc
Brown County Oral Health Partnership, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin