Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA S JACKSON
ActiveBREANNA S JACKSON is a Occupational Therapist healthcare provider located in KANAB, Utah. NPI 1194505248 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · KANAB, UT
Registration Details
- NPI Number
- 1194505248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2023 (2.8870763777628 yrs)
- Last Updated
- Oct 4, 2023
- License
-
10195848-2402 (UT)
Practice Information
- Address
-
355 N MAIN ST STE 103KANAB, UT, 847413260Browse UT providers · Browse ZIP 84741
- Phone
- 4356444199
- Primary Specialty
-
Occupational Therapist
225200000X
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.