Dr. Rebecca R Jackson
Rehabilitation Chiropractor
12203 Aberdeen St Ne Ste 140
Blaine
, Minnesota 55449-4719
Dr. Rebecca R Jackson
Rehabilitation Chiropractor
12203 Aberdeen St Ne Ste 140
Blaine
, Minnesota 55449-4719
(763) 785-4172
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Rebecca R Jackson
- 2740 Brunswick Ave S
- St Louis Park, MN
- Zip : 55416-1819
- Fax : (763) 785-4172
- Phone : (651) 343-0171
Second Address
- Dr. Rebecca R Jackson
- 12203 Aberdeen St Ne Ste 140
- Blaine, MN
- Zip : 55449-4719
- Fax : (763) 785-4172
- Phone : (763) 785-4120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 4292 | MN |
National Provider Identifier
| NPI | 1013062488 |
|---|---|
| Provider Name | Dr. Rebecca R Jackson |
| First Address | St Louis Park, MN 55416-1819 |
| Second Address | Blaine, MN 55449-4719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.