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

Jeremiah Lee Jackson

Individual provider Physical Therapy Assistant · NPI 1538090121

Jeremiah Lee Jackson is a Physical Therapy Assistant in LA Follette, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

159 Noah Ln
LA Follette, TN 37766-5575
Phone: (865) 314-0005
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8401 (TN)

Record details

NPI number1538090121
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 25, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address159 Noah Ln, La Follette, TN 37766-5575

Other providers in LA Follette