Individual provider · Type 1 NPI
Amanda Jackson, DC
Chiropractor · Desoto, TX
NPI number
1215657242
Active
Practice location
911 York Dr
Desoto, TX 75115-2063
Mailing address
805 Evergreen Ct
Keller, TX 76248-3281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 15264 (TX) |
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 1215657242
Amanda Jackson, DC's National Provider Identifier is 1215657242, issued on Aug 30, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Desoto, TX. The record was last updated on Aug 30, 2022.