Individual provider · Type 1 NPI

Chevis M. Jackson

Physical Therapy Assistant · Cumming, GA

NPI number 1205413507 Active

Practice location

125 Samaritan Dr
Cumming, GA 30040-2354

Call (770) 889-1644 Map

Mailing address

1335 Oakshyre Pl
Lawrenceville, GA 30043-6435

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA003382 (GA)

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 1205413507

Chevis M. Jackson's National Provider Identifier is 1205413507, issued on Mar 24, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cumming, GA. The record was last updated on Mar 24, 2021.