Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GENE JACKETTA, MPT, OCS
ActivePhysical Therapy Assistant · EVANSTON, WY
Registration Details
- NPI Number
- 1134131055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2006 (19.70335173031 yrs)
- Last Updated
- Jul 8, 2007
- License
-
840 (WY)
Practice Information
- Address
-
620 WEST CHEYENNE DRIVEEVANSTON, WY, 829305359Browse WY providers · Browse ZIP 82930
- Phone
- 3077898860
- Fax
- 3077898394
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EVANSTON, WY
| Name | Credential | NPI |
|---|---|---|
| JUSTIN T DENNIS | P.T. | 1558515098 |
| DR. MATTHEW DENNIS MITCHELL | PT, DPT, OCS | 1316283450 |
| TRENT SOBIECK | PT, DPT | 1386183242 |
| DR. JACQUELINE HAYDUK | PT, DPT | 1215452958 |
| DR. BRADY SCOTT STOKES | PT, DPT, CIDN | 1972074607 |
| DEVIN ORROCK | PT, DPT | 1497313563 |
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.