Individual
JACKSON THOMAS ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19460 OLD JETTON RD STE 202, CORNELIUS, NC 28031-6763
(704) 255-6879
(704) 255-6881
Mailing address
19460 OLD JETTON RD STE 202, CORNELIUS, NC 28031-6763
(704) 255-6879
(704) 255-6881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P24537
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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