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: BRANDON LEROY JACKSON P.T.

MEDICARE: BRANDON LEROY JACKSON P.T.
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 Therapist1365NV

General Provider Information

NPI Number : 1952340671
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON LEROY JACKSON P.T.
Provider Business Mailing Address
First Line : 4765 S. DURANGO DR.
Second Line : STE 106
City : LAS VEGAS
State : NV
Zip : 89147
Country : US
Telephone Number : 702-898-7633
Fax Number : 702-898-6433
Provider Business Practice Location Address
First Line : 4765 S. DURANGO DR.
Second Line : STE 106
City : LAS VEGAS
State : NV
Zip : 89147
Country : US
Telephone Number : 702-898-7633
Fax Number : 702-898-6433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 12/21/2021

Similar Medicare Providers

1568302719 — FELICIA GOODWIN
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8106
Practice Fax:
1477493625 — LAQUOYA LACY
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8810
Practice Fax:
1174463327 — ISABEL ENCISO
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8106
Practice Fax:
1083554232 — VEENA SINGH
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8106
Practice Fax:
1700726957 — COURTNEY SEARS
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8106
Practice Fax:
1982544136 — ADAM BENCHAKRA
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8106
Practice Fax:
1013857275 — GERARDO ARAUJO
Practice Location Address:
4245 S GRAND CANYON DR
LAS VEGAS, NV
89147-7161
Practice Phone: 702-825-8106
Practice Fax:

Directions to “ BRANDON LEROY JACKSON P.T.” 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.