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Jackson Davenport, DPT
NPI 1376277905 · on the registry since 2022 · sole proprietor
Practice
- Address
- 9950 Calumet Ave
Munster, IN 46321 - Phone
- (219) 934-2840
- Fax
- (219) 934-2841
- Clinicians at this address
- 18
Additional practice sites
- 8840 Calumet Ave Ste 103, Munster, IN
- 1545 W Us Highway 30, Schererville, IN
- 1545 W Us Highway 30, Schererville, IN
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-26
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 Indiana