Individual provider · Type 1 NPI

Jeremiah Lee Jackson

Physical Therapy Assistant · La Follette, TN

NPI number 1538090121 Active

Practice location

159 Noah Ln
La Follette, TN 37766-5575

Call (865) 314-0005 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8401 (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 …

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About NPI 1538090121

Jeremiah Lee Jackson's National Provider Identifier is 1538090121, issued on May 25, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in La Follette, TN. The record was last updated on Jul 20, 2026.