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

Mr. Trent Jackman, PT

Individual provider Geriatric Physical Therapist · NPI 1053503193

Mr. Trent Jackman, PT is a Geriatric Physical Therapist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

Garrison Bldg 63 Rm 202 Stop 8045
Pocatello, ID 83209-0001
Phone: (208) 282-3065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT-1236 (ID)

Record details

NPI number1053503193
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007