Breanna S Jackson
Breanna S Jackson is a Physical Therapy Assistant in Kanab, Utah. Licensed in Utah. Registered with an NPI since 2023.
- Licensed in
- UT
- In the registry since
- 2023
Practice location Address checks out
355 N Main St Ste 103Kanab, UT 84741-3260
Phone: (435) 644-4199
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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 10195848-2402 (UT) |
|---|
Record details
| NPI number | 1194505248 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 4, 2023 |
| Last updated in NPPES | October 4, 2023 |
| Certification date | October 4, 2023 |
| Mailing address | 608 E Cedar Cir, Kanab, UT 84741-3837 |