MRS. MATILDA NELMS JACKSON PTA
NPI 1821210907
Physical Therapy Assistant in Vidalia, GA
About Mrs. Matilda Nelms Jackson Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MATILDA NELMS JACKSON PTA (NPI 1821210907) is an individual physical therapy assistant in Vidalia, Georgia, licensed in Georgia (000664) and active in the NPI registry since May 2007.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matilda Jackson's NPI number?
The NPI number for Matilda Jackson is 1821210907. It was assigned to this individual provider in the NPPES registry on May 2, 2007.
Where is Matilda Jackson located?
Matilda Jackson practices at 136 Kendall Palmer Rd, Vidalia, GA 30474. The listed phone number is (912) 538-9832.
What is Matilda Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Matilda Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.