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Tiye Jackson, PTA
NPI 1669151841 · on the registry since 2023
Practice
- Address
- 3680 N Wickham Rd
Melbourne, FL 32935 - Phone
- (321) 255-5500
- Organisation at this address
- Z & G Pharmacy, Llc
Beachside Physical Therapy, Inc
H2 Rehabilitation Services Of Florida LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida