| Chanda D'riece Jackson, PT | |
|
100 S 2nd Street, Thomas, OK 73669 | |
| (580) 661-2639 | |
| (580) 661-2640 |
| Full Name | Chanda D'riece Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 100 S 2nd Street, Thomas, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063440436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3728 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda D'riece Jackson, PT Po Box 797, Thomas, OK 73669-0797 Ph: (580) 661-2639 | Chanda D'riece Jackson, PT 100 S 2nd Street, Thomas, OK 73669 Ph: (580) 661-2639 |
Emma Katherine Niblett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 N Main St, Thomas, OK 73669 Phone: 580-661-3517 | |
Kids Therapy Connection Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 N Main, Thomas, OK 73669 Phone: 405-397-5957 Fax: 580-623-5918 | |
Shelby Thomas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 N Main Street, Thomas, OK 73669 Phone: 580-661-3517 |