Chasity Jackson Valid NPI

Individual provider · Physical Therapy Assistant · Chamblee, GA

NPI

1003709080

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

PTA005168 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2025-05-30

Last updated

2025-08-01