Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL JACKSON, DPT
ActivePhysical Therapy Assistant · PAYSON, UT
Registration Details
- NPI Number
- 1902225519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2014 (12.031588024926 yrs)
- Last Updated
- Apr 10, 2014
- License
-
88900572401 (UT)
Practice Information
- Address
-
1551 N MAIN STPAYSON, UT, 846515015Browse UT providers · Browse ZIP 84651
- Phone
- 8014655400
- Fax
- 8014654872
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PAYSON, UT
| Name | Credential | NPI |
|---|---|---|
| MR. KENT A BURTON | PT | 1245285451 |
| MR. LYNN GEORGE ADAMS | P.T. | 1265463012 |
| MR. NATHAN S GRAVLEY | PT | 1356566020 |
| KYLE CHARLES ANDERSON | D.P.T. | 1932523792 |
| JACE BRINKERHOFF | — | 1942669833 |
| DR. RONEN DENNIS | DPT | 1831711480 |
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.