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

Deshaun Jackson

Individual provider Physical Therapy Assistant · NPI 1134652456

Deshaun Jackson is a Physical Therapy Assistant in Davison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
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Practice location Address checks out

709 Olivia Dr
Davison, MI 48423-1248
Phone: (810) 449-8321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502004671 (MI)

Record details

NPI number1134652456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2017
Last updated in NPPESApril 4, 2017

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