Individual provider · Type 1 NPI

Sandy N. Jackson, DC

Chiropractor · Cedar Hill, MO

NPI number 1104993187 Active

Practice location

7049 Highway Bb
Cedar Hill, MO 63016-2343

Mailing address

1303 Havenhurst Rd
Manchester, MO 63011-4404

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2004023382 (MO)
Chiropractor 111N00000X38010239 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1104993187

Sandy N. Jackson, DC's National Provider Identifier is 1104993187, issued on Nov 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Cedar Hill, MO. The record was last updated on Jul 8, 2007.