Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRENT JACKMAN, PT
ActiveMR. TRENT JACKMAN, PT is a Hand Therapy healthcare provider located in POCATELLO, Idaho. NPI 1053503193 is currently active in the NPPES registry. Verify at CMS.
Hand Therapy · POCATELLO, ID
Registration Details
- NPI Number
- 1053503193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2007 (18.817562765745 yrs)
- Last Updated
- Aug 13, 2007
- License
-
PT-1236 (ID)
Practice Information
- Address
-
GARRISON BLDG 63, ROOM 202STOP 8045POCATELLO, ID, 832090001Browse ID providers · Browse ZIP 83209
- Phone
- 2082823065
- Primary Specialty
-
Hand Therapy
2251G0304X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.