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Samuel Jackson, DPT
NPI 1811511199 · on the registry since 2020
Practice
- Address
- 104 Mauldin Rd Ste B
Greenville, SC 29605 - Phone
- (864) 214-6680
- Fax
- (864) 309-8043
- Organisation at this address
- Foundation Physical Therapy, Llc
Healthsource Of Greenville-SouthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-02
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 South Carolina