Individual provider · Type 1 NPI

Jordan Alexa Jackson, PT, DPT, SCS

Sports Physical Therapist · Kansas City, KS

NPI number 1700579968 Active

Practice location

1801 N 98th St
Kansas City, KS 66111-1869

Fax (816) 302-9939

Mailing address

2401 Gillham Rd
Kansas City, MO 64108-4619

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007X11-07296 (KS)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1700579968

Jordan Alexa Jackson, PT, DPT, SCS's National Provider Identifier is 1700579968, issued on Jun 1, 2023. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Kansas City, KS. The record was last updated on Sep 25, 2024.