Caitlyn Jo Jackson, PTA

Physical Therapy Assistant · Amarillo, TX

Individual Active NPI

NPI number 1134767601

Practice location

1910 Medi Park Dr
Amarillo, TX 79106-2187
Phone
(806) 457-4700

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NPI record

NPI
1134767601
Entity type
Individual (Type 1)
Enumeration date
December 16, 2019
Last updated
December 16, 2019
Certified
December 16, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2149204 TX

About Caitlyn Jackson

Caitlyn Jo Jackson, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1910 Medi Park Dr, Amarillo, TX 79106-2187. The NPI number 1134767601 was assigned on December 16, 2019 and the record was last updated on December 16, 2019.

Caitlyn Jackson lists a license in the registry: #2149204 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caitlyn Jo Jackson, PTA?

The NPI number is 1134767601.

What is the phone number of Caitlyn Jackson?

The phone number listed for the practice location is (806) 457-4700.

Where is Caitlyn Jackson located?

1910 Medi Park Dr, Amarillo, TX 79106-2187.

What is the taxonomy code for Caitlyn Jackson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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