MR. SHANE JACKSON, OWNER

Physical Therapist

Active Individual
NPI: 1699495812

Practice Address

1717 PRECINCT LINE RD STE 204
Hurst, TX 76054

Phone: (817) 479-7263

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 1310272 (TX)

Frequently Asked Questions

NPI 1699495812 is the National Provider Identifier for MR. SHANE JACKSON, OWNER, a Physical Therapist provider located in Hurst, TX. This NPI was enumerated on August 29, 2022.
MR. SHANE JACKSON, OWNER practices at 1717 PRECINCT LINE RD STE 204, Hurst, TX 76054.

Quick Facts

NPI
1699495812
Type
Individual
Enumerated
Aug 29, 2022
Last Updated
Aug 29, 2022

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