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Search › Louisiana › 225100000X

Tracie Jackson, P.T., DPT

NPI 1487948154 · on the registry since 2011

Practice

Address
10101 Park Rowe Ave
Ste. 200
Baton Rouge, LA 70810
Phone
(225) 769-2200
Fax
(225) 768-2185
Organisation at this address
Immi, Llc
Neurocept, Llc
Fusion Express Llc
Neuromedical Center
Omega Neuromonitoring
Inferred from a shared address, not stated in the registry.
Clinicians at this address
117

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
225100000X
Licence states on file
LA, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-19

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 Louisiana