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

GRAYSON JACKSON, PT

Active

GRAYSON JACKSON, PT is a Physical Therapy Assistant healthcare provider located in MOUNT PLEASANT, South Carolina. NPI 1578157442 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MOUNT PLEASANT, SC

Registration Details

NPI Number
1578157442
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2021 (5.4780396803336 yrs)
Last Updated
Dec 7, 2021
License
10570 (SC)

Practice Information

Address
3040 HIGHWAY 17 BYP N STE A
MOUNT PLEASANT, SC, 294669438
Browse SC providers · Browse ZIP 29466
Phone
8433887667
Fax
8433887877
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MOUNT PLEASANT, SC

Name Credential NPI
KARLENE MAE GUAY PT 1831193325
ERIKA RENATE WALTON PT 1992702765
JOHN MART 1144255167
DEREK L. WHITE RPT 1164525630
MRS. SHIRLIE B PERRONE PT 1104923903
JULIE GODWIN COLE PT 1760576862
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.