institution
Brandon Jackson Pt
Sports Physical Therapist in Las Vegas, Nevada
NPI 1205266764

Brandon Jackson Pt is a Sports Physical Therapist based in Las Vegas, NV and is specialized in Sports. Brandon Jackson Pt practices in Las Vegas, NV. The NPI Number for Brandon Jackson Pt is 1205266764 and holds a License No. 1365 (Nevada).

The current practice location address for Brandon Jackson Pt is 4765 S Durango Dr, Las Vegas, NV and can be reached out via phone at 702-898-7633 and via fax at 702-898-6433. You can also correspond with Brandon Jackson Pt through the mailing address at 4765 S DURANGO DR, LAS VEGAS, NV - 89147-8145 (mailing address contact number: 702-898-7633).

Location: 4765 S Durango Dr, Las Vegas, NV, 89147-8145
institution
Provider Profile Details
NPI Number
1205266764
Provider Name
Brandon Jackson Pt
Credential
Provider Entity Type
Organization
Address
4765 S Durango Dr, Las Vegas, NV, 89147-8145
Phone Number
702-898-7633
Fax Number
702-898-6433
Provider Enumeration Date
11/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487682076 05 NV
institution
Provider Business Practice Location Address Details
Address
4765 S Durango Dr
City
State
Zip
89147-8145
Phone Number
702-898-7633
Fax Number
702-898-6433
person
Provider Business Mailing Address Details
Address
4765 S Durango Dr
City
State
Zip
89147-8145
Phone Number
702-898-7633
Fax Number
702-898-6433
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
License No.
1365 (Nevada)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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