Cynthia M Jackson, is a 
Physical Therapist based in Sterling Hts, Michigan. Cynthia M Jackson is licensed to practice in Michigan (license number 5501007031) and her current practice location is 
13745 19 Mile, Sterling Hts, Michigan. She can be reached at her office (for appointments etc.) via phone at 
(586) 247-1178.
NPI number for Cynthia M Jackson is 1962528737 and her current mailing address is 16016 Berry Ln, Macomb, Michigan. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962528737.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Cynthia M Jackson | 
|---|
| Gender | Female | 
|---|
| Speciality | Physical Therapist | 
|---|
| Location | 13745 19 Mile, Sterling Hts, Michigan | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1962528737
 - Provider Enumeration Date: 03/22/2007
 - Last Update Date: 02/05/2008
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Cynthia M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1962528737 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 225100000X | Physical Therapist  | 5501007031 (Michigan) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cynthia M Jackson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Cynthia M Jackson, 16016 Berry Ln, Macomb, MI 48044-5631 Ph: (586) 247-1178 | Cynthia M Jackson, 13745 19 Mile, Sterling Hts, MI 48313 Ph: (586) 247-1178 | 
		
		 
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