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John Jackson, LMP
NPI 1093867723 · on the registry since 2007 · sole proprietor
Practice
- Address
- 22007 Marine View Dr S
Suite 104
Des Moines, WA 98198 - Phone
- (206) 592-1423
- Fax
- (206) 592-1428
- Organisation at this address
- Marine View Physical Therapy, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Washington