NPI 1013882778
Kayla Mackenzie Jackson, PTA
Practice location
- Address
- 600 Greenlawn Dr APT 2201, Columbia, SC 29209-0506
- Phone
- (803) 477-8663
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013882778
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Oct 2025
- Record last updated
- 10 Oct 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.