IndividualActive
Donnita Jackson
NPI 1689924433 · Physical Disabilities Residential Treatment Facility · Austin, TX
Provider details
- NPI number
- 1689924433
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1210 South Trace
Austin, TX 78745
Phone: (512) 888-5985
Approximate (ZIP-level) locationGet directions
Mailing address
1210 South Trace
Austin, TX 78745
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2013-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.