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DR. JASON ACKLEY DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1407175912
Individual Registrant:DR. JASON ACKLEY DC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3600 1ST AVE N ST PETERSBURG, FL 33713-8407 US
Tel: 727-327-4522 Fax: 727-327-8069
Tel: 727-327-4522 Fax: 727-327-8069
Contact information for business:
3600 1ST AVE N ST PETERSBURG, FL 33713-8407 US
Tel: 727-327-4522 Fax: 727-327-8069
Tel: 727-327-4522 Fax: 727-327-8069
Registration Information:
NPI: 1407175912
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | FL | CH9973 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
