Jackson, Kristen

Jackson, Kristen is an sole proprietor health care provider with primary practice located at 3248 Lithia Pinecrest Rd Ste 102 , Valrico FL 33596-5682. 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, Kristen can be contacted via phone (813) 662-1366.

Contact Information

Primary practice address
3248 Lithia Pinecrest Rd Ste 102 Valrico FL 33596-5682
Phone: (813) 662-1366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA25124 Florida

Profile Details

NPI number 1912306176
LBN Legal business name Jackson, Kristen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2014
Last updated Aug 13th, 2014 - about 10 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.

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