Ida Desiree Jackson
Ida Desiree Jackson is a Physical Therapy Assistant in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2023.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
291 Plantation Centre Dr N Apt 705Macon, GA 31210-9249
Phone: (478) 447-7052
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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 PTA002042 (GA) |
|---|
Record details
| NPI number | 1639957434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 21, 2023 |
| Last updated in NPPES | September 21, 2023 |
| Certification date | September 21, 2023 |
| Mailing address | 291 Plantation Centre Dr N Apt 705, Macon, GA 31210-9249 |
Other providers in Macon
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Sherry Fitzpatrick, PTA
110 Yearwood Dr, Macon, GA 31206-5226 · (912) 401-9381
-
Mr. Lee Hawkins Glover, PTA
4523 Forsyth Rd, Macon, GA 31210-4527 · (478) 254-7010
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Mrs. Stacy L Hamlin, PTA
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-
Bobby Holcumb III
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Brande Puckett, LPTA
3356 Vineville Ave, Macon, GA 31204-2328 · (478) 476-9642
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Nicole Robinson
2795 Finney Cir, Macon, GA 31217-4512 · (478) 742-1117
-
Miss. Kristy Marie Talbot, PT
3708 Northside Dr, Macon, GA 31210-2404 · (478) 745-4206
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Mrs. Amy M Tyler, PTA
3200 Riverside Dr Ste 300-A, Macon, GA 31210-2550 · (478) 471-1004