Search › Louisiana › 2255A2300X
Matthew Jackson, DPT, MOT,ATC
NPI 1992027775 · on the registry since 2010 · sole proprietor
Practice
- Address
- 187 Ninth St
Jena, LA 71342 - Phone
- (318) 992-9200
- Fax
- (318) 992-9280
- Organisation at this address
- Hospital Service District #2 Of Lasalle Parish
Hospital Service District #2 Of Lasalle ParishInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 225100000X
225X00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-22
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