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

Paul Charles Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1639339443

Paul Charles Jackson, PTA is a Physical Therapy Assistant in Sierra Vista, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

660 S Coronado Dr
Sierra Vista, AZ 85635-3386
Phone: (520) 459-4900
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 7580A (AZ)

Record details

NPI number1639339443
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESJune 16, 2008

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