IndividualActive
Kristin Jackson, PT, DPT, CMTPT
NPI 1497398697 · Orthopedic Physical Therapist · Louisville, KY
Provider details
- NPI number
- 1497398697
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CMTPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 004956 (KY)
Practice location
317 Wallace Ave Ste 203
Louisville, KY 40207-3060
Phone: (502) 209-7677
Mailing address
4710 Kitty Hawk Way
Louisville, KY 40207-1753
Registry dates
- Enumerated
- 2019-10-21
- Last updated
- 2020-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.