location
search-icon
person
Kelli Tracy Jackman, MPT
Pediatric Physical Therapist in San Leandro, California
NPI 1750698114

Kelli Tracy Jackman is a Pediatric Physical Therapist based in San Leandro, CA and is specialized in Pediatrics. Kelli Tracy Jackman practices in San Leandro, CA and has the professional credentials of MPT. The NPI Number for Kelli Tracy Jackman is 1750698114 and holds a License No. PT 28294 (California).

The current practice location address for Kelli Tracy Jackman is 981 Dowling Blvd, San Leandro, CA and can be reached out via phone at 510-638-9618.

Location: 981 Dowling Blvd, San Leandro, CA, 94577-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750698114
Provider Name
Kelli Tracy Jackman
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
981 Dowling Blvd, San Leandro, CA, 94577-2125
Phone Number
510-638-9618
Fax Number
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
981 Dowling Blvd
City
San Leandro
State
California
Zip
94577-2125
Phone Number
510-638-9618
Fax Number
person
Provider Business Mailing Address Details
Address
981 Dowling Blvd
City
San Leandro
State
California
Zip
94577-2125
Phone Number
510-638-9618
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT 28294 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.