Individual provider · Type 1 NPI

David Jackson Jr., PTA

Physical Therapy Assistant · Lake City, SC

NPI number 1104098904 Active

Practice location

258 N Ron Mcnair Blvd
Lake City, SC 29560-2462

Call (843) 374-6198 Map

Fax (843) 374-6180

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1706 (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 …

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About NPI 1104098904

David Jackson Jr., PTA's National Provider Identifier is 1104098904, issued on Apr 1, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake City, SC. The record was last updated on Apr 1, 2008.