IndividualActive
Chasity Jackson
NPI 1003709080 · Physical Therapy Assistant · Chamblee, GA
Provider details
- NPI number
- 1003709080
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA005168 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5440 Peachtree Blvd
Chamblee, GA 30341-2255
Phone: (470) 719-0090
Fax: (470) 719-0091
Approximate (ZIP-level) locationGet directions
Mailing address
33900 Harper Ave Ste 104
Clinton Twp, MI 48035-4258
Registry dates
- Enumerated
- 2025-05-30
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.