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Mr. Kyle Jackson, PT
Physical Therapist in Petaluma, California
NPI 1861597908

Kyle Jackson is a Physical Therapist based in Windsor, CA. Kyle Jackson practices in Petaluma, CA and has the professional credentials of PT. The NPI Number for Kyle Jackson is 1861597908 and holds a License No. PT27666 (California).

The current practice location address for Kyle Jackson is 1310 Casa Grande Rd, Petaluma, CA and can be reached out via phone at 707-782-0921 and via fax at 707-782-0926.

Location: 1310 Casa Grande Rd, Petaluma, CA, 95492-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861597908
Provider Name
Kyle Jackson
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1310 Casa Grande Rd, Petaluma, CA, 95492-0010
Phone Number
707-782-0921
Fax Number
707-782-0926
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ231187 01 CA MEDICARE GRP ID#
ZZZ00793Z 01 CA BLUE SHIELD PROV GRP #
institution
Provider Business Practice Location Address Details
Address
1310 Casa Grande Rd
City
Petaluma
State
California
Zip
94954-5603
Phone Number
707-782-0921
Fax Number
707-782-0926
person
Provider Business Mailing Address Details
Address
1310 Casa Grande Rd
City
Petaluma
State
California
Zip
94954-5603
Phone Number
707-782-0921
Fax Number
707-782-0926
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
-
Taxonomy
225100000X
License No.
PT27666 (California)
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
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