Individual provider · Type 1 NPI

Kira Jackson

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number 1407533532 Active

Practice location

1055 Howell Mill Rd, Ste 8082 Pmb 1050
Atlanta, GA 30318

Call (478) 336-6169 Map

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1407533532

Kira Jackson's National Provider Identifier is 1407533532, issued on Jun 30, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 30, 2023.