Individual provider · Type 1 NPI

Ty Alan Jackson, PTA

Physical Therapy Assistant · Durant, OK

NPI number 1679236871 Active

Practice location

1801 Chukka Hina
Durant, OK 74701-7117

Call (580) 920-2100 Map

Mailing address

5450 Roadrunner Dr
Durant, OK 74701-2451

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3010 (OK)

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 1679236871

Ty Alan Jackson, PTA's National Provider Identifier is 1679236871, issued on Oct 15, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Durant, OK. The record was last updated on Oct 15, 2021.