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

MONIQUE MARIE JACKMAN

Active Sole Proprietor

MONIQUE MARIE JACKMAN is a Recreation Therapist healthcare provider located in WASHINGTON TERRACE, Utah. NPI 1801610860 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · WASHINGTON TERRACE, UT

Registration Details

NPI Number
1801610860
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2024 (1.7664565061028 yrs)
Last Updated
Nov 14, 2024
License
4744927-4003 (UT)
Sole Proprietor
Yes

Practice Information

Address
5648 S 500 E
WASHINGTON TERRACE, UT, 844057230
Browse UT providers · Browse ZIP 84405
Phone
8044750500
Primary Specialty
Recreation Therapist
225800000X

Other Recreation Therapist Providers in WASHINGTON TERRACE, UT

Name Credential NPI
NICOLE VICTORIA CUNDICK TRT 1033961701
JUDY ANN ROYBAL TRT 1821843293
MEGAN GRIFFIN 1245189794
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.