Brandon Jackson Pt Valid NPI

Organization · Sports Physical Therapist · Las Vegas, NV

NPI

1205266764

Type

Organization (Type 2)

Primary specialty

Sports Physical Therapist (Physical Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2251S0007X

License number

1365 (NV)

Enumerated

2013-11-20

Last updated

2014-05-02