Individual provider · Type 1 NPI

Charles Lee Jackson Jr., PTA

Physical Therapy Assistant · Las Vegas, NV

NPI number 1386937183 Active

Practice location

2250 E Flamingo Rd
Las Vegas, NV 89119-5170

Call (702) 784-4303 Map

Fax (702) 892-0237

Mailing address

2905 Portada Ave
Henderson, NV 89074-2845

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2012 (NV)

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 1386937183

Charles Lee Jackson Jr., PTA's National Provider Identifier is 1386937183, issued on May 26, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Las Vegas, NV. The record was last updated on May 26, 2011.