Individual provider · Type 1 NPI

Stanford Jackson

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1750688933 Active

Practice location

8321 W Sahara Ave Apt 2007
Las Vegas, NV 89117-1883

Call (702) 562-3569 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1750688933

Stanford Jackson's National Provider Identifier is 1750688933, issued on Feb 23, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 23, 2011.