Provider Demographics
NPI:1013720556
Name:REEVES, JACKSON MAJOR (DC)
Entity type:Individual
Prefix:
First Name:JACKSON
Middle Name:MAJOR
Last Name:REEVES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10371 MONKS DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-6371
Mailing Address - Country:US
Mailing Address - Phone:256-874-7485
Mailing Address - Fax:
Practice Address - Street 1:10371 MONKS DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-6371
Practice Address - Country:US
Practice Address - Phone:256-874-7485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor