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

Individual provider Pediatric Physical Therapist · NPI 1225124712

Olymphia Anecia Jackson, MSPT is a Pediatric Physical Therapist in Douglasville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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Practice location Address checks out

4352 Missoula Pl
Douglasville, GA 30135-8608
Phone: (678) 715-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT007580 (GA)

Record details

NPI number1225124712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 9, 2007

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