Breanna S Jackson Valid NPI

Individual provider · Physical Therapy Assistant · Kanab, UT

NPI

1194505248

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

10195848-2402 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2023-10-04

Last updated

2023-10-04