SHANNON JACKSON REHAB TECH
NPI 1144427329
Technician, Other in South Bend, IN

Active since June 29, 2007
1950 RIDGEDALE RD, SOUTH BEND, IN 46614(574) 291-6722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Jackson Rehab Tech NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON JACKSON REHAB TECH (NPI 1144427329) is an individual technician, other provider in South Bend, Indiana and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1144427329
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameSHANNON JACKSONCredential: REHAB TECH
Location Address1950 RIDGEDALE RDSouth Bend, IN 46614-2243
Mailing Address507 E Broadway StSouth Bend, IN 46601-3503
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1144427329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

1950 RIDGEDALE RD, South Bend, IN 46614

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Skilled Nursing Facility
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Occupational Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Physical Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Nursing Facility/Intermediate Care Facility
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Speech-Language Pathologist
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Speech-Language Pathologist
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
Physical Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Jackson's NPI number?

The NPI number for Shannon Jackson is 1144427329. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Shannon Jackson located?

Shannon Jackson practices at 1950 Ridgedale Rd, South Bend, IN 46614. The listed phone number is (574) 291-6722.

What is Shannon Jackson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Shannon Jackson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.