Individual provider · Type 1 NPI

Ashiya Faye Jackson, DPT, PCS

Pediatric Physical Therapist · Charlotte, NC

NPI number 1164551826 Active

Practice location

3205 Freedom Dr
Charlotte, NC 28208-2866

Mailing address

2621 Keziah Rd
Matthews, NC 28105-1993

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070010961 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1164551826

Ashiya Faye Jackson, DPT, PCS's National Provider Identifier is 1164551826, issued on Mar 5, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Charlotte, NC. The record was last updated on Jan 12, 2022.