Jordon Jacklin, DPT | |
111 S 5th St, Douglas, WY 82633-2434 | |
(307) 358-9464 | |
(307) 358-9330 |
Full Name | Jordon Jacklin |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 111 S 5th St, Douglas, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467070730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1635 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Therapy And Rehabilitation Llc | 3476441767 | 4 |
Provider Name | Professional Therapy And Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629259189 PECOS PAC ID: 3476441767 Enrollment ID: O20040308001466 |
Mailing Address | Practice Location Address |
---|---|
Jordon Jacklin, DPT Po Box 1790, Douglas, WY 82633-1790 Ph: (307) 358-9464 | Jordon Jacklin, DPT 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-9464 |
Aaron Bernal, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-9464 | |
Jessica Michelle Mangus, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-9464 Fax: 307-358-9330 | |
North Platte Physical Therapy Services, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-9464 Fax: 307-358-9330 | |
Tlc Therapies, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 S 5th St, Douglas, WY 82633 Phone: 307-358-4852 | |
Mallory Harper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-9464 | |
Robert B Mangus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-9464 Fax: 307-358-9330 | |
Shelby Hoskinson, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-9464 |