Jackson, Brandi L

Jackson, Brandi L is an individual health care provider with primary practice located at 5501 Nw 62Nd Ter Ste 102 , Kansas City MO 64151-2412. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jackson, Brandi L can be contacted via phone (816) 453-4485.

Contact Information

Primary practice address
5501 Nw 62Nd Ter Ste 102 Kansas City MO 64151-2412
Phone: (816) 453-4485
Fax: (816) 453-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2002030223 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-03206 Kansas

Profile Details

NPI number 1447209630
LBN Legal business name Jackson, Brandi L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Aug 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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