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

Nicholas Avery Child

Individual provider Physical Therapy Assistant · NPI 1558885814

Nicholas Avery Child is a Physical Therapy Assistant in Jesup, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

1251 S 1st St
Jesup, GA 31545-7729
Phone: (912) 559-2071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 865 S 1st St, Jesup, GA 31545-0210 — (912) 530-3184

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA003613 (GA)

Record details

NPI number1558885814
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2017
Last updated in NPPESMarch 17, 2018

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