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Chazeray Monteya Jackson, PTA

Physical Therapy Assistant in Asheville, NC. Individual provider (NPI-1).

NPI number1407201437
StatusActive
Last updated in NPPESApr 27, 2016

Details

NPI
1407201437
Entity type
Individual (NPI-1)
Name
Mr. Chazeray Monteya Jackson
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2016
Last updated
Apr 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA5816NCYes
225200000X Physical Therapy Assistant2306604367VA

Practice location

1301 Kensington Place Apt B
Asheville, NC 28803-2393

Phone 828-275-6688

Mailing address

1301 Kensington Pl Apt B
Asheville, NC 28803-2393

Phone 828-275-6688

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