OrganizationActive
Jackson Therapy
NPI 1124421631 · Early Intervention Provider Agency · Gun Barrel City, TX
Provider details
- NPI number
- 1124421631
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Samantha Moyer, Physical Therapist
- License
- 1249341 (TX)
Practice location
849 S Gun Barrel Ln # Lm
Unit G5
Gun Barrel City, TX 75156-9335
Phone: (610) 737-2524
Mailing address
849 S Gun Barrel Ln # Lm
Gun Barrel City, TX 75156-9335
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2014-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.