IndividualActive
Andrea Jackson
NPI 1861215840 · Rehabilitation Practitioner · Fort Smith, AR
Provider details
- NPI number
- 1861215840
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA2294 (AR)
Practice location
2120 S Waldron Rd Ste C
Fort Smith, AR 72903-3689
Phone: (479) 452-0424
Mailing address
13364 Highway 219
Ozark, AR 72949-8939
Registry dates
- Enumerated
- 2024-11-06
- Last updated
- 2024-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.