Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ja'Kyra Tannell Cannon, PTA

Individual provider Physical Therapy Assistant · NPI 1902621436

Ja'Kyra Tannell Cannon, PTA is a Physical Therapy Assistant in Raleigh, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2701 Calliope Way Apt 203
Raleigh, NC 27616-5158
Phone: (662) 404-1023
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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

Record details

NPI number1902621436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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