Search › Pennsylvania › 225100000X
Austin Jackson
NPI 1770271074 · on the registry since 2023
Practice
- Address
- 380 Phoenix Ave
Bellefonte, PA 16823 - Phone
- (814) 574-0328
- Organisation at this address
- Revival Health And Rehab Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 2400 Lakeside Drive, Lynchburg, VA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania