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Search › Delaware › 225100000X

Keith Jackson, MPT

NPI 1952338337 · on the registry since 2006

Practice

Address
1812 Marsh Rd
Store 505
Wilmington, DE 19810
Phone
(302) 475-7500
Organisation at this address
Doresh Inc.
Ati Holdings Llc
Happy Harrys Inc
Ati Holdings Llc
Usv Optical, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
MD, DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-19

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 Delaware