Jackson, Stacey Marie

Jackson, Stacey Marie is an sole proprietor health care provider with primary practice located at 4680 Cordata Pkwy , Bellingham WA 98226-8038. 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, Stacey Marie can be contacted via phone (360) 398-1966.

Contact Information

Primary practice address
4680 Cordata Pkwy Bellingham WA 98226-8038
Phone: (360) 398-1966
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1578722278
LBN Legal business name Jackson, Stacey Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2008
Last updated Jun 6th, 2008 - about 17 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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