Individual provider · Type 1 NPI

Ebonie Nicole Jackson, PTA

Physical Therapy Assistant · Homewood, AL

NPI number 1710441522 Active

Practice location

1045 Broadway Park Ste 107
Homewood, AL 35209-6256

Fax (205) 573-6280

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA9250 (AL)

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 1710441522

Ebonie Nicole Jackson, PTA's National Provider Identifier is 1710441522, issued on Jan 25, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Homewood, AL. The record was last updated on Jan 25, 2019.