David Jackson Jr. in Lake City - Physical Therapy Assistant
David Jackson Jr. - NPI 1104098904
David Jackson Jr. is a Physical Therapy Assistant in Lake City, South Carolina. David Jackson Jr. practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for David Jackson Jr. is 1104098904. The last update date is 2008-04-01.
David Jackson Jr.'s current location address is 258 N Ron Mcnair Blvd, Lake City, South Carolina. You can contact this provider via phone number 8433746198 and fax number 8433746180. The mailing address for David Jackson Jr. is 258 N Ron Mcnair Blvd, Lake City, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jackson Jr. |
|---|---|
| Address | 258 N Ron Mcnair Blvd, Lake City, South Carolina |
| Phone Number | 8433746198 |
| Fax Number | 8433746180 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1104098904 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 258 N Ron Mcnair Blvd |
|---|---|
| City | Lake City |
| State | South Carolina (SC) |
| Post Code | 295602462 |
| Phone Number | 8433746198 |
| Fax Number | 8433746180 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1706 |
|
Definition: (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 Post |
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Post Comment/ Review Below
What is the unique identifier code issued to David Jackson Jr. by the Centers for Medicare & Medicaid Services (CMS)?
The David Jackson Jr. has been assigned the NPI (National Provider Identifier) 1104098904. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where David Jackson Jr.'s facilities are geographically located?
The facilities of David Jackson Jr. are physically situated at the following location: 258 N Ron Mcnair Blvd, Lake City, SC, 295602462.
What is David Jackson Jr.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Jackson Jr. is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.
When was the David Jackson Jr.'s 1104098904 issued?
The David Jackson Jr.'s 1104098904 was issued on 2008-04-01.
When was the information regarding David Jackson Jr., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Jackson Jr., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-01.
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