RUSSELL JACKSON, DPT
Physical Therapist
Active
Individual
NPI: 1902225519
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 88900572401 (UT) |
Frequently Asked Questions
NPI 1902225519 is the National Provider Identifier for RUSSELL JACKSON, DPT, a Physical Therapist provider located in Payson, UT. This NPI was enumerated on April 10, 2014.
RUSSELL JACKSON, DPT practices at 1551 N MAIN ST, Payson, UT 84651.
Quick Facts
- NPI
- 1902225519
- Type
- Individual
- Enumerated
- Apr 10, 2014
- Last Updated
- Apr 10, 2014
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