IndividualActive
Austin Jackson, PT., DPT.
NPI 1194242388 · Physical Therapist · Bridgeview, IL
Provider details
- NPI number
- 1194242388
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT., DPT.
- Sex
- Male
- Sole proprietor
- No
- License
- 2017029489 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8755 S Harlem Ave
Bridgeview, IL 60455
Phone: (708) 430-2295
Approximate (ZIP-level) locationGet directions
Mailing address
8755 S Harlem Ave
Bridgeview, IL 60455
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2017-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.