DR. Damien S Jackson-ricketts PT, DPT

  • NPI 1346765195
According to our database, the NPI number for DR. Damien S Jackson-ricketts PT, DPT is 1346765195 and activated since 6 years ago. DR. Damien S Jackson-ricketts PT, DPT is an individual provider who specializes in Physical Therapist, and the primary practice location is 904 Palms Blvd, Venice, CA 90291. You can also contact DR. Damien S Jackson-ricketts PT, DPT via telephone number is (276) 768-7816. Provider NPI information was last updated on 02/12/2021.

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Overview of DR. Damien S Jackson-ricketts PT, DPT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/12/2017
  • Last updated: 02/12/2021

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 293358
  • License State: CA

Provider Mailing Address

  • Address: 904 Palms Blvd
    Venice, CA 90291
  • Phone: 276-768-7816
  • Fax:

Provider Practice Location

  • Address: 904 Palms Blvd
    Venice, CA 90291
  • Phone: 276-768-7816
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 293358
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 293358
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: PHYSICAL THERAPY LICENSE NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Damien S Jackson-ricketts PT, DPT?
  • A: The npi number for DR. Damien S Jackson-ricketts PT, DPT is 1346765195.
  • Q: What are DR. Damien S Jackson-ricketts PT, DPT's specialties?
  • A: DR. Damien S Jackson-ricketts PT, DPT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for DR. Damien S Jackson-ricketts PT, DPT?
  • A: The medical license number for DR. Damien S Jackson-ricketts PT, DPT is 293358 and issued in CA in USA.
  • Q: Where is DR. Damien S Jackson-ricketts PT, DPT practice location?
  • A: DR. Damien S Jackson-ricketts PT, DPT is practicing at 904 Palms Blvd, Venice, CA 90291.
  • Q: How to contact DR. Damien S Jackson-ricketts PT, DPT?
  • A: You can contact DR. Damien S Jackson-ricketts PT, DPT via 276-768-7816.