Misty Marie Jackson, PTA
Physical Therapy Assistant in Frostburg, MD. Individual provider (NPI-1).
NPI number1457122012
StatusActive
Last updated in NPPESJan 12, 2024
Details
- NPI
- 1457122012
- Entity type
- Individual (NPI-1)
- Name
- Misty Marie Jackson
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2024
- Certification date
- Jan 12, 2024
- Last updated
- Jan 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A5057 | MD | Yes |
Other names
- Misty Marie Anderson (Former Name)
Practice location
48 Tarn TerFrostburg, MD 21532-1242
Phone 301-689-1391
Mailing address
57 Jackson StLonaconing, MD 21539-1307
Phone 240-609-9594
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Frostburg, MD
- Ashley K Christopher, PTANPI 1366977845
- Sean P Lindner, PTANPI 1396084075
- Sherry MockNPI 1780112540
- Dean Andrew MulcasterNPI 1669545810
- Debra Reckart, PTANPI 1679813281
- Tara Renee Robison, PTANPI 1114266897
- Kelly Ann Wakefield, PTANPI 1790024461
All 8 Physical Therapy Assistant providers in Frostburg · All 210 providers in Frostburg
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.