MR. Kelly James Jackson, PT
NPI #1811191166 in Saint George, Utah
Provider Information
- NPI Number
- 1811191166
- Entity Type
- Individual
- Name
- MR. Kelly James Jackson, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jun 12, 2007
- Last Updated
- May 15, 2010
Practice Location
- Address
- 1424 E FOREMASTER DR
- Address 2
- SUITE 130
- City
- Saint George
- State
- Utah
- ZIP Code
- 84790-5832
- Phone
- (435) 251-2367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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