Jackson, Tyler
Jackson, Tyler is an individual health care provider with primary practice located at 20823 Stevens Creek Blvd , Cupertino CA 95014-2108. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Tyler can be contacted via phone (408) 252-6076.Contact Information
Primary practice address
20823 Stevens Creek Blvd
Cupertino CA 95014-2108
Phone: (408) 252-6076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 43079 | California |
Profile Details
| NPI number | 1023489796 |
|---|---|
| LBN Legal business name | Jackson, Tyler |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2015 |
| Last updated | Oct 7th, 2015 - about 11 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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