NPI 1003709080

Chasity Jackson

Practitioner Physical Therapy Assistant Chamblee, GA

Practice location

Address: 5440 Peachtree Blvd, Chamblee, GA 30341-2255
Phone: (470) 719-0090
Fax: (470) 719-0091
Mailing address: 33900 Harper Ave STE 104, Clinton Twp, MI 48035-4258

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA005168 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1003709080
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2025
Record last updated: 1 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.