Jackson, Kellie Lyn

Jackson, Kellie Lyn is an individual health care provider with primary practice located at 1980 Sunset Point Rd , Clearwater FL 33765-1132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jackson, Kellie Lyn can be contacted via phone (727) 443-1588.

Contact Information

Primary practice address
1980 Sunset Point Rd Clearwater FL 33765-1132
Phone: (727) 443-1588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA23154 Florida

Profile Details

NPI number 1174826309
LBN Legal business name Jackson, Kellie Lyn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2010
Last updated Dec 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers