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

Mr. Jamie Johnston Wilson, PTA

Individual provider Registered Nurse · NPI 1114190576

Mr. Jamie Johnston Wilson, PTA is a Registered Nurse in Salem, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2008.

Licensed in
IL, MO
In the registry since
2008
Specialties on file
4
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

Hwy 72 W
Salem, MO 65560
Phone: (573) 729-6141
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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 · Licence 2007023425 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2007017529 (MO)
Registered Nurse Taxonomy 163W00000X (IL)
Physical Therapy Assistant Taxonomy 225200000X (IL)

Record details

NPI number1114190576
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 8, 2008
Last updated in NPPESApril 8, 2008

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