Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY JAMES JACKSON, PT
Active Sole ProprietorMR. KELLY JAMES JACKSON, PT is a Physical Therapy Assistant healthcare provider located in SAINT GEORGE, Utah. NPI 1811191166 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAINT GEORGE, UT
Registration Details
- NPI Number
- 1811191166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2007 (19.14255742719 yrs)
- Last Updated
- May 15, 2010
- License
-
347889-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1424 E FOREMASTER DRSUITE 130SAINT GEORGE, UT, 847905832Browse UT providers · Browse ZIP 84790
- Phone
- 4352512367
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAINT GEORGE, UT
| Name | Credential | NPI |
|---|---|---|
| TOM BENOLERAO | PT | 1922187947 |
| LACY SCHIWAL | PT | 1669682696 |
| JILL MIKKELSON | P.T. | 1952510950 |
| TROY MIKKELSON | P.T. | 1376752360 |
| LOUIE DOYLE BURT | M.S., P.T. | 1447458641 |
| VICTORIA R BURROUGHS | PT, DPT | 1225313976 |
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.