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

Monique Marie Jackman

Individual provider Recreation Therapist · NPI 1801610860

Monique Marie Jackman is a Recreation Therapist in Washington Terrace, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024
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Practice location Address checks out

5648 S 500 E
Washington Terrace, UT 84405-7230
Phone: (804) 475-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 4744927-4003 (UT)

Record details

NPI number1801610860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address121 W 4300 N, Pleasant View, UT 84414-1123

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