Search › Florida › 2083S0010X
Chad Jackson, MS, ATC
NPI 1518484245 · on the registry since 2017 · sole proprietor
Practice
- Address
- 14110 Six Mile Cypress Pkwy
Fort Myers, FL 33912 - Phone
- (239) 479-6411
- Fax
- (239) 768-2032
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2083S0010X
2083S0010X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-24
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 Florida