Individual provider · Type 1 NPI
Kelli Tracy Jackman, MPT
Pediatric Physical Therapist · San Leandro, CA
Practice location
981 Dowling Blvd
San Leandro, CA 94577-2125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT 28294 (CA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1750698114
Kelli Tracy Jackman, MPT's National Provider Identifier is 1750698114, issued on Sep 8, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Leandro, CA. The record was last updated on Sep 8, 2010.