Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Mixon, RKT

Individual provider Kinesiotherapist · NPI 1497204739

Jack Mixon, RKT is a Kinesiotherapist in Greenville, South Carolina. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
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Practice location Address checks out

41 Park Creek Dr
Greenville, SC 29605-4270
Phone: (864) 299-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X · Licence 1982 (MS)

Record details

NPI number1497204739
Entity typeIndividual (Type 1)
GenderMale
Credentials RKT
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016