Brandi Jackson, DPT

NPI #1316406747 in South Weber, Utah

Provider Information

NPI Number: 1316406747
Entity Type: Individual
Name: Brandi Jackson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 15, 2019
Last Updated: Mar 15, 2019

Practice Location

Address: 2572 E SOUTH WEBER DR STE 5
City: South Weber
State: Utah
ZIP Code: 84405-9550
Phone: (801) 479-7045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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