Individual provider · Type 1 NPI

Gabrielle Elyse Jackson

Physical Therapy Assistant · Sullivan, IL

NPI number 1982333472 Active

Practice location

1 Masonic Way
Sullivan, IL 61951-9467

Mailing address

2128 E 1525 North Rd
Shelbyville, IL 62565-4537

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007936 (IL)

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 1982333472

Gabrielle Elyse Jackson's National Provider Identifier is 1982333472, issued on Jun 9, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sullivan, IL. The record was last updated on Jun 9, 2022.