Individual provider · Type 1 NPI
Justin Jackson
Physical Therapy Assistant · Cordova, SC
Practice location
22 Eugenia Ct
Cordova, SC 29039-9635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 4014 (SC) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
About NPI 1013470285
Justin Jackson's National Provider Identifier is 1013470285, issued on Apr 12, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cordova, SC. The record was last updated on Apr 12, 2019.