Individual provider · Type 1 NPI

Wayne Jackson, DPT

Physical Therapist · Ellicott City, MD

NPI number 1104204668 Active

Practice location

10300B Baltimore National Pike
Ellicott City, MD 21042-2128

Fax (410) 988-5349

Mailing address

10300-B Baltimore National Pike
Ellicott City, MD 21042-2128

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X25338 (MD)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1104204668

Wayne Jackson, DPT's National Provider Identifier is 1104204668, issued on May 15, 2015. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Ellicott City, MD. The record was last updated on Dec 4, 2015.