Individual provider · Type 1 NPI
Jacqueline Susan Wilson, PTA
Physical Therapy Assistant · Medina, TN
Practice location
401 Promise Way Ln
Medina, TN 38355-6967
Mailing address
278 Plunk St
Henderson, TN 38340-2107
Other practice locations
- 597 W Forest Ave, Jackson, TN 38301-3935 · (731) 300-4800
- 100 Cherrywood Pl, Jackson, TN 38305-1799 · (731) 668-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 5810 (TN) |
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 …
4 other providers at this address
- Christian Care Center of Milan, LLCNursing Facility/Intermediate Care Facility Medina, TN NPI 1619629250
- Medina Health & Rehabilitation LLCSkilled Nursing Facility Medina, TN NPI 1760371082
- Jimmy R. LewisSkilled Nursing Facility Medina, TN NPI 1730831363
- Kimberle Anne Moody, PTAPhysical Therapy Assistant Medina, TN NPI 1477431708
Other physical therapy assistant providers in Medina
About NPI 1275430134
Jacqueline Susan Wilson, PTA's National Provider Identifier is 1275430134, issued on Oct 23, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Medina, TN. The record was last updated on Oct 23, 2026.