Individual provider · Type 1 NPI

Timothy J. Jackson, DC, FIAMA

Chiropractor · Fair Oaks, CA

NPI number 1114017951 Active

Practice location

5525 Dewey Dr, Suite 210
Fair Oaks, CA 95628-3129

Fax (916) 966-8348

Mailing address

5525 Dewey Dr Ste 210
Fair Oaks, CA 95628-3131

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X15249 (CA)

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 1114017951

Timothy J. Jackson, DC, FIAMA's National Provider Identifier is 1114017951, issued on Oct 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fair Oaks, CA. The record was last updated on Jul 8, 2007.