MR. TRENT JACKMAN, PT

Physical Therapist - Geriatrics

Active Individual
NPI: 1053503193

Practice Address

GARRISON BLDG 63, ROOM 202
STOP 8045
Pocatello, ID 83209

Phone: (208) 282-3065

Specialties

Specialty Code Primary License
Physical Therapist - Geriatrics 2251G0304X Yes PT-1236 (ID)

Frequently Asked Questions

NPI 1053503193 is the National Provider Identifier for MR. TRENT JACKMAN, PT, a Physical Therapist - Geriatrics provider located in Pocatello, ID. This NPI was enumerated on August 13, 2007.
MR. TRENT JACKMAN, PT practices at GARRISON BLDG 63, ROOM 202, STOP 8045, Pocatello, ID 83209.

Quick Facts

NPI
1053503193
Type
Individual
Enumerated
Aug 13, 2007
Last Updated
Aug 13, 2007

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