Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES EDMONDSON, DPT
ActiveCHARLES EDMONDSON, DPT is a Physical Therapy Assistant healthcare provider located in JACKSON, Mississippi. NPI 1770033987 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSON, MS
Registration Details
- NPI Number
- 1770033987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2016 (9.8215221278997 yrs)
- Last Updated
- Oct 4, 2019
- License
-
PT5987 (MS)
Practice Information
- Address
-
120 DISTRICT BLVD STE D102JACKSON, MS, 392116382Browse MS providers · Browse ZIP 39211
- Phone
- 7692048222
- Fax
- 7692352751
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| CHARLES DAVID HERRINGTON | — | 1043263122 |
| MISS NIKI T.S SINGLETARY | MPT | 1235184169 |
| ANNIE S BURT | PT | 1669400909 |
| LADONNA ROCHELLE WILLIAMS | RPT | 1356371801 |
| VANESSA Y ATKINSON | RPT | 1417975277 |
| JENNIFER SPELL | PT | 1881617579 |
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.