| Mr Jacob S Jackson, DPT | |
|
4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | |
| (618) 242-1100 | |
| (618) 244-5148 |
| Full Name | Mr Jacob S Jackson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4110 S Water Tower Pl, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982162905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070024163 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob S Jackson, DPT 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 Ph: (618) 242-1100 | Mr Jacob S Jackson, DPT 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 Ph: (618) 242-1100 |
Mary L. Stedelin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 Fax: 618-204-5487 | |
Terri S Garrett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 | |
Mrs. Cheryl Jeanne Uy Rushing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
James M Mulvaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864 Phone: 618-244-1163 Fax: 618-244-1522 | |
Raquel A Minor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-731-7120 | |
Hayden Klockenga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 | |
Mrs. Susan Christine Portner, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-8887 Fax: 618-244-5537 |