IndividualActive
Chanda Jackson, P.T.
NPI 1063440436 · Physical Therapist · Thomas, OK
Provider details
- NPI number
- 1063440436
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3728 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 S 2nd Street
Thomas, OK 73669
Phone: (580) 661-2639
Fax: (580) 661-2640
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 797
Thomas, OK 73669-0797
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2014-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.