Breanna S Jackson

NPI #1194505248 in Kanab, Utah

Provider Information

NPI Number: 1194505248
Entity Type: Individual
Name: Breanna S Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 4, 2023
Last Updated: Oct 4, 2023

Practice Location

Address: 355 N MAIN ST STE 103
City: Kanab
State: Utah
ZIP Code: 84741-3260
Phone: (435) 644-4199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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