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

Luke Michael Jackson

Individual provider Physical Therapy Assistant · NPI 1639028053

Luke Michael Jackson is a Physical Therapy Assistant in Lake Butler, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

7744 SW 100th Run
Lake Butler, FL 32054-6410
Phone: (904) 796-7726
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 34560 (FL)

Record details

NPI number1639028053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address7744 Sw 100th Run, Lake Butler, FL 32054-6410

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