DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NAKISHA ROBERTSON JACKSON PT, DPT

MEDICARE: NAKISHA ROBERTSON JACKSON PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1172173TX

General Provider Information

NPI Number : 1538374087
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAKISHA ROBERTSON JACKSON PT, DPT
Provider Business Mailing Address
First Line : 5824 CRESTVIEW DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-8507
Country : US
Telephone Number : 985-513-0221
Fax Number :
Provider Business Practice Location Address
First Line : 5801 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4209
Country : US
Telephone Number : 817-433-0810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 06/14/2012

Similar Medicare Providers

1598944050 — MRS. JODI P ENGLISH RN, APN
Practice Location Address:
5801 BRYANT IRVIN RD
FORT WORTH, TX
76132-4209
Practice Phone: 817-346-3030
Practice Fax: 817-887-3774
1578647012 — MR. ROSS M PFAFF PTA, ATC
Practice Location Address:
5801 BRYANT IRVIN RD
FORT WORTH, TX
76132-4209
Practice Phone: 817-988-6873
Practice Fax:
1619375904 — ERIN ADAMS PTA
Practice Location Address:
5801 BRYANT IRVIN RD
FORT WORTH, TX
76132-4209
Practice Phone: 903-520-3519
Practice Fax:
1376941609 — CHARLENE VALENTINE OTR/L
Practice Location Address:
5801 BRYANT IRVIN RD
FT WORTH, TX
76132-4209
Practice Phone: 817-346-3030
Practice Fax:
1083002042 — MELISSA WEBSTER MS, CCC-SLP
Practice Location Address:
5801 BRYANT IRVIN RD
FORT WORTH, TX
76132-4209
Practice Phone: 817-346-3030
Practice Fax:
1760870372 — SUSAN TREHUS
Practice Location Address:
5801 BRYANT IRVIN RD
FORT WORTH, TX
76132-4209
Practice Phone: 817-346-3030
Practice Fax:

Directions to “ NAKISHA ROBERTSON JACKSON PT, DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.