Search › Illinois › Physical Therapist
Jacob Jackson, DPT
NPI 1982162905 · on the registry since 2019
Practice
- Address
- 4110 S Water Tower Pl
Mount Vernon, IL 62864 - Phone
- (618) 242-1100
- Fax
- (618) 244-5148
- Organisation at this address
- Select Physical Therapy Holdings, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-08
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 Illinois