Individual provider · Type 1 NPI
Tasheka L. Jackson
Prosthetic/Orthotic Supplier · Memphis, TN
Practice location
4204 E Mallory Ave
Memphis, TN 38111-7819
Fax (601) 340-9588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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.
Other prosthetic/orthotic supplier providers in Memphis
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- Sedrica N. BowensProsthetic/Orthotic Supplier Memphis, TN NPI 1578136180
- Vernia StevensonProsthetic/Orthotic Supplier Memphis, TN NPI 1578400495
- Shanyrial Sharie HolmesProsthetic/Orthotic Supplier Memphis, TN NPI 1629885439
About NPI 1457004863
Tasheka L. Jackson's National Provider Identifier is 1457004863, issued on Jan 27, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Memphis, TN. The record was last updated on Jan 27, 2022.