SearchMissouri2251X0800X

Chad Jackson, PT, DPT, OCS

NPI 1710177142 · on the registry since 2007

Practice

Address
822 S Walnut St
Maryville, MO 64468
Phone
(660) 562-2705
Fax
(660) 562-7967

Registry record

Primary taxonomy
2251X0800X
2251X0800X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-01

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 Missouri