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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB GRANT JACKSON, PT, DPT, ATC

Active

JACOB GRANT JACKSON, PT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1336923846 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1336923846
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2023 (2.9329863874073 yrs)
Last Updated
Aug 24, 2023
License
40674 (FL)

Practice Information

Address
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL, 322164312
Browse FL providers · Browse ZIP 32216
Phone
9043899989
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
JOANNA LEIGH MARSHALL PT 1154326536
DONNA LOUISE ZIEGLER PT 1184629560
DAWN NICHELLE ROSADO MPT 1578568952
DEBORAH JANET ROCKETT PT 1174528566
KYLE G CORBIN PT 1437154804
SARAH L KATSARAS PT 1376548776
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.