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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JILLYN JACKSON, PTA

Active Sole Proprietor

JILLYN JACKSON, PTA is a Occupational Therapist healthcare provider located in SALT LAKE CITY, Utah. NPI 1689107542 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SALT LAKE CITY, UT

Registration Details

NPI Number
1689107542
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2017 (9.3144925181019 yrs)
Last Updated
Apr 7, 2017
License
284914-2402 (UT)
Sole Proprietor
Yes

Practice Information

Address
1256 E 1300 S
SALT LAKE CITY, UT, 841051949
Browse UT providers · Browse ZIP 84105
Phone
8016412494
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SALT LAKE CITY, UT

Name Credential NPI
RYAN HALE 1831357359
MRS. CLARA A. DUDACK PTA 1639488828
MS. CLYBE LILY LUFT P.T.A. 1477894111
LEABRIO SCOTT 1669814208
JILL GARCIA P.T.A 1457733073
MISCHA WAYAN-LEVINE 1366984098
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.