Individual provider · Type 1 NPI

Kristen Jackson, PTA

Physical Therapy Assistant · Valrico, FL

NPI number 1912306176 Active

Practice location

3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682

Call (813) 662-1366 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA25124 (FL)

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 1912306176

Kristen Jackson, PTA's National Provider Identifier is 1912306176, issued on Aug 13, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Valrico, FL. The record was last updated on Aug 13, 2014.