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

Jacqueline D Wilson, PT

Individual provider Physical Therapist · NPI 1508922246

Jacqueline D Wilson, PT is a Physical Therapist in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

3760 Lavista Rd Ste 102
Tucker, GA 30084-5615
Phone: (404) 248-0415
Fax: (404) 248-0422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1512 (GA)

Record details

NPI number1508922246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1221 Parkland Ct Se, Smyrna, GA 30082-4732

Other providers in Tucker