RYAN JACKSON
Rehabilitation Practitioner
Active
Individual
NPI: 1891665964
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes | E205069 (CA) |
Frequently Asked Questions
NPI 1891665964 is the National Provider Identifier for RYAN JACKSON, a Rehabilitation Practitioner provider located in San Jose, CA. This NPI was enumerated on November 5, 2025.
RYAN JACKSON practices at 1302 N 4TH ST, San Jose, CA 95112.
Quick Facts
- NPI
- 1891665964
- Type
- Individual
- Enumerated
- Nov 5, 2025
- Last Updated
- Nov 5, 2025
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