BRANDON JACKSON PT
Restorative Service Providers at Durango Dr, Las Vegas, NV

License number
Nevada 1365
Category
Restorative Service Providers
Type
Sports
Owner
Name: BRANDON L JACKSON P.T.
Title: PHYSICAL THERAPIST
Phone: (702) 845-1386
Address
Address
4765 S Durango Dr SUITE 106, Las Vegas, NV 89147
National Provider ID: 1205266764
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Brandon Jackson Pt

4765 S Durango Dr, Las Vegas, NV 89147

Industry:
Health Practitioner's Office
Partners:
Brandon Jackson (Owner, Partner),Brandon K. Richards (Partner)

Brandon Jackson, P.T., Prof. Corp

11671 Suburban Rd, Las Vegas, NV 89135

Registration:
Mar 20, 2002
State ID:
C6885-2002
Business type:
Domestic Professional Corporation
President, Secretary, Treasurers:
Jackson Brandon (Director),Brandon L. Jackson (President, Secretary, Treasurer)
Agent:
Anne Jackson

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