Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donica Chivon Jackson, CPTA

Individual provider Physical Therapy Assistant · NPI 1881039683

Donica Chivon Jackson, CPTA is a Physical Therapy Assistant in Raytown, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
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Practice location Address checks out

11900 Jessica Ln
Raytown, MO 64138-2649
Phone: (816) 743-0085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2006017162 (MO)

Record details

NPI number1881039683
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPTA
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 7, 2013

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