Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY MATTEA JACKSON
Active Sole ProprietorCASEY MATTEA JACKSON is a Physical Therapy Assistant healthcare provider located in HAILEY, Idaho. NPI 1871455535 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HAILEY, ID
Registration Details
- NPI Number
- 1871455535
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2025 (0.6905541393378 yrs)
- Last Updated
- Dec 1, 2025
- License
-
1371587 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1450 AVIATION DR STE 201HAILEY, ID, 833338785Browse ID providers · Browse ZIP 83333
- Phone
- 2087278281
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HAILEY, ID
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY A MAZIK | PT | 1801884499 |
| MRS. GLORIA GOULD GUNTER | MPT, MED, PCS | 1275512246 |
| MS. LINDA NONE REISS | PT | 1548270622 |
| MARY A HOGAN | — | 1376602136 |
| MRS. MARY ELLEN OLEARY | PT | 1639231459 |
| JENNIFER M COOK | PT | 1104977511 |
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.