Provider Demographics
NPI:1306192471
Name:JACKSON, APRIL WILLIAMS (LPTA)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:WILLIAMS
Last Name:JACKSON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 HICKORY HILL RD
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-3536
Mailing Address - Country:US
Mailing Address - Phone:256-591-7926
Mailing Address - Fax:
Practice Address - Street 1:460 HICKORY HILL RD
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3536
Practice Address - Country:US
Practice Address - Phone:256-591-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA3853225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant