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Contact Information

YVONNE D JACKSON, PT
1000 OAKLAND DR FL 3
KALAMAZOO, MI49008
 Phone: 269-387-7232
 Fax: 269-387-7026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for YVONNE D JACKSON · (Female)

NPI Number 1417297714
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 02/22/2013
Last updated 07/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501004524
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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