Individual provider · Type 1 NPI

Matilda Nelms Jackson, PTA

Physical Therapy Assistant · Vidalia, GA

NPI number 1821210907 Active

Practice location

136 Kendall Palmer Rd
Vidalia, GA 30474-8200

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X000664 (GA)

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 1821210907

Matilda Nelms Jackson, PTA's National Provider Identifier is 1821210907, issued on May 2, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Vidalia, GA. The record was last updated on Jul 8, 2007.