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

Nicholas Avery Child

Individual provider Physical Therapy Assistant · NPI 1558885814

Nicholas Avery Child is a Physical Therapy Assistant in Jesup, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

1251 S 1st St
Jesup, GA 31545-7729
Phone: (912) 559-2071
Show map & directions

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

Additional practice locations (1)

  • 865 S 1st St, Jesup, GA 31545-0210 — (912) 530-3184

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA003613 (GA)

Record details

NPI number1558885814
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2017
Last updated in NPPESMarch 17, 2018
Mailing address4519 Walter Griffis Rd, Odum, GA 31555-8802

Other providers in Jesup