Jackson, Toni M.

Jackson, Toni M. is an individual health care provider with primary practice located at 4806 State St Home Office, East Saint Louis IL 62205-1355. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreational Therapist Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Jackson, Toni M. can be contacted via phone (618) 225-2777.

Contact Information

Primary practice address
4806 State St Home Office East Saint Louis IL 62205-1355
Phone: (618) 225-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreational Therapist Assistant 226000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 2005015267 Missouri

Profile Details

NPI number 1376871103
LBN Legal business name Jackson, Toni M.
Credentials NCTMB
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2009
Last updated Feb 25th, 2021 - about 5 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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