Individual provider · Type 1 NPI

Shannon Jackson, REHAB TECH

Other Technician · South Bend, IN

NPI number 1144427329 Active

Practice location

1950 Ridgedale Rd
South Bend, IN 46614-2243

Call (574) 291-6722 Map

Mailing address

507 E Broadway St
South Bend, IN 46601-3503

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1144427329

Shannon Jackson, REHAB TECH's National Provider Identifier is 1144427329, issued on Jun 29, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.