Individual provider · Type 1 NPI
Andrea Jackson
Rehabilitation Practitioner · Fort Smith, AR
NPI number
1861215840
Active
Practice location
2120 S Waldron Rd Ste C
Fort Smith, AR 72903-3689
Mailing address
13364 Highway 219
Ozark, AR 72949-8939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | PTA2294 (AR) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
About NPI 1861215840
Andrea Jackson's National Provider Identifier is 1861215840, issued on Nov 6, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fort Smith, AR. The record was last updated on Nov 6, 2024.