TARA JACKSON

Physical Therapy Assistant

Active Individual
NPI: 1144632837

Practice Address

303 NORTH HURSTBOURNE PARKWAY
SUITE 200
Louisville, KY 40222

Phone: (502) 412-5847

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA-A01032 (KY)

Frequently Asked Questions

NPI 1144632837 is the National Provider Identifier for TARA JACKSON, a Physical Therapy Assistant provider located in Louisville, KY. This NPI was enumerated on May 29, 2014.
TARA JACKSON practices at 303 NORTH HURSTBOURNE PARKWAY, SUITE 200, Louisville, KY 40222.

Quick Facts

NPI
1144632837
Type
Individual
Enumerated
May 29, 2014
Last Updated
May 29, 2014

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