Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE JACKSON, DPT
ActiveDR. WAYNE JACKSON, DPT is a Physical Therapy Assistant healthcare provider located in ELLICOTT CITY, Maryland. NPI 1104204668 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ELLICOTT CITY, MD
Registration Details
- NPI Number
- 1104204668
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2015 (11.25641119052 yrs)
- Last Updated
- Dec 4, 2015
- License
-
25338 (MD)
Practice Information
- Address
-
10300B BALTIMORE NATIONAL PIKEELLICOTT CITY, MD, 210422128Browse MD providers · Browse ZIP 21042
- Phone
- 4109885171
- Fax
- 4109885349
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ELLICOTT CITY, MD
| Name | Credential | NPI |
|---|---|---|
| JAY HERDSON | PT | 1972599819 |
| ELLEN DRISCOLL | PT | 1730170671 |
| MS. JENNIFER LYNN HEALEY-HAWKS | MPT | 1790735280 |
| MS. BRENDA RUTLEDGE | PT | 1861449183 |
| MATTHEW JAMES STUART | PT | 1205859162 |
| MRS. MEGAN MALLOY GRECO | DPT | 1720094428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.