Individual
DAVIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
227 S PENDLETON ST STE B, EASLEY, SC 29640-3084
(864) 855-7030
(864) 855-7019
Mailing address
227 S PENDLETON ST STE B, EASLEY, SC 29640-3084
(864) 855-7030
(864) 855-7019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13213
SC
Other
Enumeration date
02/09/2026
Last updated
02/25/2026
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