Individual provider · Type 1 NPI

Kyle Jackson, PT

Physical Therapist · Petaluma, CA

NPI number 1861597908 Active

Practice location

1310 Casa Grande Rd, Suite B
Petaluma, CA 94954-5603

Fax (707) 782-0926

Mailing address

PO Box 10
Windsor, CA 95492-0010

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT27666 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1861597908

Kyle Jackson, PT's National Provider Identifier is 1861597908, issued on Sep 13, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Petaluma, CA. The record was last updated on Jul 9, 2007.