Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYIA MCKENZIE JACKSON
Active Sole ProprietorMYIA MCKENZIE JACKSON is a Physical Therapist Assistant healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1760351050 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1760351050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2025 (0.76784309742891 yrs)
- Last Updated
- Nov 4, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 ADAMS TERRACE CTWEST COLUMBIA, SC, 291722600Browse SC providers · Browse ZIP 29172
- Phone
- 8033971231
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.